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急性期并殖吸虫病检测循环抗原的诊断价值

THE VALUE OF DETECTION OF CIRCULATING ANTIGENS IN THE DIAGNOSIS OF ACUTE PARAGONIMIASIS

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【作者】 冯笑川蔡士春沈一平

【Author】 Feng Xiaochuan

【机构】 南京医学院寄生虫学教研室南京医学院寄生虫学教研室

【摘要】 采用纯化的抗卫氏并殖吸虫成虫抗体进行双抗体夹心HLISA,检测并殖吸虫病人体内特异的循环抗原。检测累计阳性率82.4%(75/91),假阳性率为4.9%(3/61)。其中感染3个月以上的病人血清测得阳性率为51.9%(14/27),感染不足3个月的急性期病人阳性率为85.9%(55/64)。表明此法对并殖吸虫病,尤其是急性期的诊断具有价值。此外还比较了斑点ELISA法与双抗体夹心ELISA法检测循环抗原的效果,发现斑点ELISA法检出率不低于双抗体夹心ELISA法。而且更为简便、省材,在并殖吸虫病诊断和流行病学调查中具有推广应用意义。

【Abstract】 The specific circulating antigens ( CA) in paragonimiasis can be detected by ELISA with purified antibody which is against adult paragonimus wetermani. Meanwhile a dot-ELISA was conducted to compare with it.The positive rate o’f ELISA in 91 paragonimiasis cases was 82.4% with a false positive rate of 4.9% in 61 healthy individuals. The positive rate of the acute paragonimiasis cases infected within 3 .months was 85.9%, and the positive rate, was 51.9% in the patients infected for over three months. ,f t seems that the detection of CA in diagnosis of paragonimiasis was more nsefnl in the early infection than in the late onel. The positive rate of dot-ELISA was just as same as that of ELISA, so it may be USeFUl in thediagnosis and the epidemiological investigation.

【关键词】 关殖吸虫循环抗原免疫诊断
【Key words】 ParagonimiasisCirculating antigensImmunodiagnosis
【基金】 江苏省自然科学基金
  • 【文献出处】 中国人兽共患病杂志 ,Chinese Journal of Zoonoses , 编辑部邮箱 ,1989年04期
  • 【被引频次】3
  • 【下载频次】10
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