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甲胎蛋白在重型肝炎中改变的分析

The Changes of alpha fetoproteim in patients with severe hepatitis

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【作者】 李国钦高碧华叶报春

【Author】 LI Guo-qin,GAO Bi-hua,YE Bao-chun.The People’s Hospital of Beihai City(Beihai Guangxi,536000)China

【机构】 北海市人民医院肝病科北海市人民医院肝病科 广西北海536000广西北海536000

【摘要】 目的:了解重型肝炎患者甲种胎儿球蛋白(AFP)的变化。方法:38例重型肝炎患者,根据临床转归分为存活组和死亡组。入院后动态观察AFP的改变。用放免法检测血清AFP。结果:38例重型肝炎患者的AFP(205.64±289.78)ng/m l,显著高于正常值(8.1ng/m l),P<0.001。存活组22例患者的AFP(225.03±65.16)ng/m l,显著高于正常值,P=0.003。但是,两组间的AFP差异无显著性意义(P=0.63)。38例重型肝炎中,6例患者的AFP在700~900ng/m l之间,10例在100~500ng/m l之间,其余均高于正常值的2~10倍(尤以存活组较为明显),仅4例在正常值范围之内。结论:重型肝炎有强烈的肝细胞再生现象,肝细胞再生能力对患者的预后有一定影响。

【Abstract】 Objective:To investigate the changes of alpha fetoprotein(AFP) in patients with severe hepatitis.Methods:Thirty eight patients were divided into two groups-the survival(22 cases) and the dead(16 cases) by clinical inversion.AFP levels were measured with radioimmunoassay(RIA) to observe the changes of AFP in the patients hospitalized.Results:AFP(205.64±289.67)ng/ml in the severe patients was obviously higher than that of the normal(8.1ng/ml),P<0.001.There were no significant difference between the former[AFP(225.03±65.16)ng/ml] and latter[AFP(178.97±68.48)ng/ml,P=0.63].AFP of 6 patients were in 700~900ng/ml and 10 in 100~500ng/ml.The others were from twice to 10 times higher than that of the normal and only 4 in normal.Conclusions:It was showed there was a hepatocellular regeneration strongly appeared in severe heaptitis.

【关键词】 重型肝炎甲胎蛋白肝细胞再生
【Key words】 severe hepatitisAFPhepatocellular regeneration
  • 【文献出处】 中西医结合肝病杂志 ,Chinese Journal of Integrated Traditional and Western Medicine on Liver Diseases , 编辑部邮箱 ,2007年04期
  • 【分类号】R575.1
  • 【被引频次】5
  • 【下载频次】80
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