肝硬化并发自发性细菌性腹膜炎患者腹水中TNF-α及IL-6的测定及其意义

被引:15
作者
蔺小红
席宏丽
斯崇文
机构
[1] 北京大学第一医院感染疾病科
关键词
自发性细菌性腹膜炎; 腹水; 肿瘤坏死因子α; 白细胞介素-6;
D O I
暂无
中图分类号
R575.2 [肝硬变];
学科分类号
1002 ; 100201 ;
摘要
目的探讨肿瘤坏死因子(TNF-α)及白细胞介素-6(IL-6)与肝硬化并发自发性细菌性腹膜炎(spontaneous bacterial peritonitis,SBP)的关系。方法用ELISA方法对32例肝硬化并发SBP和30例肝硬化漏出性腹水中TNF-α及IL-6进行检测,并作对照分析。结果肝硬化并发SBP组腹水TNF-α及IL-6明显高于肝硬化漏出性腹水组(P<0·01);SBP组病情重、死亡者腹水中TNF-α及IL-6质量浓度明显高于存活者;SBP组部分病例抗感染治疗临床表现有效后,腹水中TNF-α及IL-6质量浓度明显下降。结论检测腹水中TNF-α及IL-6水平可辅助诊断SBP,并可观察治疗效果、判断病情及预后。
引用
收藏
页码:206 / 207
页数:2
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