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应用双抗体夹心ELISA法、放射免疫测定法和间接免疫荧光测定法,同步检测了48例HFRS患者血清IL6,β2MG,特异性IgM和IgG的动态变化。结果表明,HFRS患者血清IL6水平发热期已高于正常组(P<001),并达较高水平,少尿期达高峰,与临床病情的进展相一致;IL6、特异性IgM和IgG分别于病程的第6d,第9d及第11d达高峰,IL6与血清球蛋白呈明显的正相关,IL6与HFRS患者病程中特异性抗体的升高有明显关系;轻、中、重和危重型患者血清IL6与IgG间呈正相关,且IL6随病情加重而升高。提示:IL6可能与体液免疫功能亢进所致免疫病理损伤有关,并根据IL6与血清β2MG,尿素氮(BUM)和肌酐(Cr)均呈高度正相关,表明IL6参与了肾脏的免疫损伤。
Double antibody sandwich ELISA, radioimmunoassay and indirect immunofluorescence assay were used to detect the dynamic changes of serum IL6, β2MG, specific IgM and IgG in 48 patients with HFRS simultaneously. The results showed that HFRS patients with serum IL 6 level fever period has been higher than the normal group (P <0 01), and reached a high level, oliguria reached a peak, consistent with the progress of clinical conditions; IL 6, specific Sex IgM and IgG in the course of the course of the 6d, 9d and 11d reached a peak, IL 6 and serum globulin was positively correlated, IL 6 and HFRS patients with elevated duration of specific antibodies have a clear relationship; Light, moderate, severe and critically ill patients serum IL 6 and IgG was positively correlated, and IL 6 increased with the aggravation of the disease. Hint: IL 6 may be associated with immunopathological damage caused by hypersensitivity to humoral immunity, and according to IL 6 and serum β2 MG, BUN and Cr were highly correlated, indicating that IL 6 involved Kidney immune damage.