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血清结合胆酸测定在病毒性肝炎中的临床价值

Evaluation of the Determination of Serum Conjugated Cholic Acid in Patients with Virus Hepatitis

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【作者】 张国豹; 蔡锡麟; 马伦; 杨典恺; 陈月新; 刘伟星; 熊祖廉; 李延平;

【Author】 Chang Guobao Cai Xilin Ma Lun Yang Diankai Chen Yuexin Liu Weixin Xiong Zulian Li Yanping (Department of Infectious disease and Nuclear Medicine, Jiangxi Medcal College)

【机构】 江西医学院传染病学教研室; 江西医学院核医学教研究室; 南昌市传染病院;

【摘要】 应用放射免疫分析法对463例各型病毒性肝炎及450例正常人空腹血清结合胆酸(CCA)进行测定,并与常规肝功能试验进行比较,提示CCA在急性黄疸型,亚急性重型及慢性活动性肝炎起病时显著升高,且为肝功能的一种敏感检测方法,有一定的临床价值。

【Abstract】 The fasting serum conjugated cholic acid in 450 normal subjects and 463 patients with virus hepatitis was determined by RIA method. The mean value was 0.32±0.28mmol/L in normal subjects. There was no significant difference by sex and age. The value in patients was significantly higher than that in normal subjects (P<0.01). Compared with other conventional liver function tests. The highest value was found in patients with acute icteric hepatitis, subacute severe hepatitis and chronic active hepatitis. The percentage of abnormality of CCA in virus hepatitis was much higher (P<0.01) than that of GPT, TTT, biliubin and A/G. In patients with chronic active hepatitis. Subacute severe hepatitis and Gholestatic hepatitis, the percentage of CCA is higher (P<0.05) than that of GPT. It is suggested that serum conjugated Cholic acid estimation is avery sensitive test of the liver function. In patients with chronic hepatitis the CCA level is more sensitive than conventicenal Iiver function test as an indicator of Iiver damage.

  • 【文献出处】 江西医学院学报 ,Acta Academiae Medicinae Jiangxi , 编辑部邮箱 ,1988年03期
  • 【被引频次】1
  • 【下载频次】11
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