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为探讨有效免疫指标,对27例急性肾炎和6例肾病进行动态观察。肾炎极期血清CH_(50)和C_3明显下降,与病情轻重密切相关,如持续降低,病程迁延。40天后多数恢复正常。CH_(50)和C_3有助于急性肾炎、类脂性和肾炎性肾病的鉴别及肾炎时判断病情和估计予后。肾炎时尿溶菌酶和CH_(50)随病情好转而下降,与尿常规相平行,尿溶菌酶是反映肾功能的良好指标。血清IgG、IgA、IgM及淋巴细胞绝对数、淋巴细胞转化率和PHA皮试反应虽有变化,但诊断意义不大。
In order to explore effective immune indicators, 27 cases of acute nephritis and 6 cases of nephropathy were observed dynamically. Nephritis polar serum CH_ (50) and C_3 decreased significantly, closely related with the severity of illness, such as continued to reduce the duration of the disease. After 40 days, most returned to normal. CH_ (50) and C_3 contribute to the diagnosis of acute nephritis, lipoid and nephritic nephropathy and nephritis, and to assess the prognosis. Nephritis urinary lysozyme and CH_ (50) decline with the improvement of the condition, parallel with the urine routine, urine lysozyme is a good indicator of renal function. Serum IgG, IgA, IgM and absolute number of lymphocytes, lymphocyte transformation and PHA skin test although the changes, but the diagnosis is of little significance.