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在一些学者的研究中和我们以前的报告里,都曾经证明进食能引起血沉的增速。本文是想进一步探讨这种加速的机制。关于血沉改变的机制,历来学者研究甚多Fahreus 在他早期的研究中,就注意到红血球数目增多,能引起血沉减慢,相反的红血球数目減少时则血沉加速。Drastich,Rourke 及Ernstene等也都同样的观察红血球数目同血沉的这种关系。进一步的根据这种关系和他自己进行的一些研究,还提出了确定血沉真正速度的数学公式。Westergren 根据自己多年的研究,认为红血球数目确能影响血沉值的大小,但是对血沉值影响最大者则为血浆蛋白成分的改变,在这方面,有许多学者(Fahreus,Dochez,Krosing,Bruchsaler,Hunts,Theorell,Westergren,Widstrom,Bendien 及Shapper)特别强调纤维蛋白元的作用,在Fahreus 的研究中,曾经证明纤维蛋白元的加速血沉,较球蛋白大八倍之多。Bruchsaler 认为婴儿血沉较
In the studies of some scholars and in our previous reports, food intake has been shown to cause an increase in ESR. This article is to further explore this acceleration mechanism. Historically, many scholars have studied the mechanism of changes in ESR. In his earlier study, Fahreus noticed that the number of red blood cells increased, which caused the erythrocyte sedimentation rate to slow down. On the contrary, when the number of red blood cells decreased, the ESR accelerated. Drastich, Rourke and Ernstene also observe the same number of erythrocytes and erythrocyte sedimentation rate of this relationship. Further based on this relationship and some of his own research, a mathematical formula for determining the true speed of ESR was also proposed. According to his years of research, Westergren thinks that the number of erythrocytes can influence the ES value, but the most influential factor on the ES value is the change of plasma protein composition. In this regard, many scholars (Fahreus, Dochez, Krosing, Bruchsaler, Hunts , Theorell, Westergren, Widstrom, Bendien, and Shapper) emphasize the role of fibrinogen. Fahreus’s study demonstrated that fibrinogen accelerates erythrocyte sedimentation, which is eight times greater than globulin. Bruchsaler that infants erythrocyte sedimentation rate more