肾综合症出血热血清蛋白与肝肾功能及临床关系的研究  

The relationship between serum protein and hepatorenal functions and clincal manifestation in hemorragic fever with renal syndrom

作　　者：刘春水[1] 王振华[1] 侯可法[1] 刘慧芝[1] 彭建[1] 

机构地区：[1]莱芜市人民医院,山东莱芜271000

出　　处：《泰山医学院学报》2001年第3期200-201,共2页Journal of Taishan Medical College

摘　　要：目的　了解肾综合症出血热 (HFRS)各期血清蛋白的变化特点及其与肝、肾功能的关系。方法　采用瑞士产COBASMIRAPLUSCC全血动生化分析仪及日本产MA 42 10尿液分析仪分别检测同时的空腹静脉血及晨尿。结果　 15 0例HFRS患者 2 17次检测血清总蛋白 (T)平均为 6 3 5 1g/L ,白蛋白 (A)为 36 2 9g/L ,球蛋白 (G)为 2 7 2 2g/L ,A/G =1 33。其中A/G为 1 49～ 1 0者 137例 (6 3 3% ) ,A/G <1 0者 2 7例 (12 44 % ) ,A/G≥ 1 5者 5 3例(2 4 42 % )。结论　HFRS患者有 75 5 8%存在着低白蛋白血症 ,并贯穿于各期 ,异常程度与病情轻重呈正相关 ,主要原因是肾脏损害 ,大量白蛋白从尿中丢失 。Objective: understanding the characteristics of hemorragic fever with renal syndrom(HFRS) and changing on serum protein in each stage and the relationship between liver and kidney. Method: UsingCOBAS MIRA PLUS CC biosynthesis analysing instrument made in Switzerland and MA 4210 urine analysing instrument made in Japan. Results: Average values of total serum protein is 63 51 g/L,albumin(A) is 36 29 g/L,globulin(G) is 27 22 g/L, A/G=1 33 which all is from 150 cases of HFRS patiens by 217 times examined. Among them this value from 137 cases (63 13%) is 1 49 1, 27 cases (12 44%)<1 0, 53 cases (24 42%)>1 5. Conclusion: About 75 58% HFRS pateints have lowwer albumin at each stage and this abnormal level is direcly related to their illness condition. The primary account is because of renal damage in which a lot of albumin lost from urine and this isn't directly related to liver synthesis fuction.

关 键 词：血清蛋白 肾功能 肾综合征出血热 肝功能 临床研究 

分 类 号：R512.8[医药卫生—内科学]