| 肥达反应阳性和假阳性的临床意义 |
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| 引用本文： | 王明秀,范晓峰,黄湘虎,张桂琴,周志式.肥达反应阳性和假阳性的临床意义[J].南京医科大学学报,1989(4). |
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| 作者姓名： | 王明秀 范晓峰 黄湘虎 张桂琴 周志式 |
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| 作者单位： | 南京医学院第一附属医院传染病学教研室，南京医学院第一附属医院传染病学教研室，南京医学院第一附属医院传染病学教研室，南京医学院检验科，南京医学院常州三院 |
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| 摘 要： | 对230例患者进行了肥达反应检测,包括伤寒180例和非伤寒患者50例。肥达反应在伤寒中阳性率为90.6%,对伤寒的诊断仍有重要价值。但是,它在慢性肝病和结核性脑膜炎等疾病中也有一些患者出现“阳性”反应。我们认为肥达反应假阳性在非伤寒病例中出现可以提示有免疫功能紊乱存在。特别是肝炎肝硬化患者还可能与枯否细胞功能降低,从肠道经门脉进入血流的抗原增加,促使抗体增加有关。
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| 关 键 词： | 肥达反应 伤寒 乙型肝炎 人类 |
CLINICAL VALUE OF POSITIVE AND FALSE POSITIVE WIDAL REACTION |
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| Wang Mingxiu,et al..CLINICAL VALUE OF POSITIVE AND FALSE POSITIVE WIDAL REACTION[J].Acta Universitatis Medicinalis Nanjing,1989(4). |
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| Authors: | Wang Mingxiu |
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| Abstract: | Widal reaction done in 230 cases(including 180 cases of typhoid fever,17 chronic hepatitis B,25 hepatitis liver cirrhosis,6 tuberculosis,1 colon cancer and 1 malignant histiocytosis)showed positive reaction in 90.6% of typhoid fever cases. Patients with chronic hepatitis,tuberculosis and malignant histiocytosis also gave positive reaction.Therefore,Widal reaction is still an important diagnostic index for typhoid fever when considered together with the clinical manifestations.Diseases other than typhoid fever giving positive Widal reaction(false positive Widal reaction) may have disturbance in immune function,a reduction in Kupffer cell function, increase in antibody from intestine by portal vein into the blood in hepatitis liver cirrhosis. |
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| Keywords: | WidaI rection typhoid hepatitis B human |
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