【摘要】 目的了解深部真菌感染患者外周血出现浆细胞时机体的免疫功能状态。方法分别观察深部真菌、一般细菌感染患者和正常对照各20例浓集血涂片中有无出现浆细胞及浆细胞数量;用流式细胞术、散射比浊法检测淋巴细胞亚群、血清免疫球蛋白含量。结果15例深部真菌感染患者浓集血涂片可见到浆细胞,一般细菌感染患者只有1例可找到浆细胞,正常对照组均未找到;深部真菌感染患者淋巴细胞亚群CD3+:(50.2±6.1)%、CD4+:(23.6±3.5)%,低于正常对照组CD3+:(66.8±8.0)%、CD4+:(35.2±5.1)%,而CD8+:(33.9±4.5)%、CD19+:(34.2±7.0)%,高于正常对照CD8+:(26.5±6.5)%、CD19+:(12.0±4.9)%,CD16/56+分别为(18.8±5.1)%和(18.2±7.0)%两组间差异无统计学意义;深部真菌感染患者和正常对照免疫球蛋白含量分别为:IgG 8.357、.72 g/L,IgA 1.59、0.99 g/L,IgM 1.201、.07 g/L。结论深部真菌感染患者浓集血涂片见到浆细胞时,机体的细胞免疫功能处于低下;血清各种免疫球蛋白水平、NK细胞数量变化不大;但CD19+淋巴细胞数量却增加。更多还原

【Abstract】 OBJECTIVE To know the immunate function state when patients with invasive fungal infection appearing peripheral blood plasmacyte.METHODS Twenty cases of invasive fungal,bacterial infection and normal concentrate blood smear if apper plasmacyte and quantity;adopt flow cytometer technology,nephelometry were used to detect lymphocyte subpopulation,immunoglobulin level.RESULTS Concentrate blood smear find plasmacyte in 15 case invasive fungal infect patient,commonly bacterial infect only 1 case.nomal had not find.invasive fungal infection patien lymphocyte subpopulation CD3+:(50.2±6.1)%,CD4+:(23.6±3.5)%,lower than normal CD3+:(66.8±8.0)%,CD4+:(35.2±5.1)%.But CD8+:(33.9±4.5)%,CD19+:(34.2±7.0)% there were hinger than normal CD8+:(26.5±6.5)%,CD19+:(12.0±4.9)%,CD16/56+ parting(18.8±5.1%,18.2±7.0%).There ware no marked difference in two group of invasive fungal infect patients and normal immunoglobulin level parting:IgG 8.35,7.72 g/L,IgA 1.59,0.99 g/L,IgM 1.20,1.07 g/L.CONCLUSIONS Invasive fungal infect patients when concentrate blood smear find plasmacyte,are found with low immune and blood serum immunoglobulin level with NK cell quantity no obvious change;but CD19+ lymphocyte quantity increase.更多还原