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不同患者手术前后血中IL-2/sIL-2R系统的动态变化
引用本文:潘雷达 陆青. 不同患者手术前后血中IL-2/sIL-2R系统的动态变化[J]. 现代免疫学, 1997, 17(2): 89-91
作者姓名:潘雷达 陆青
作者单位:[1]上海纺织第一医院 [2]长海长江免疫基因检测中心
摘    要:本文研究28例胆囊炎胆石症、结肠癌和直肠癌患者手术前后血中IL-2/sIL-2R系统的动态变化。分别于手术前或当晨,术后1、2~3、5~7d抽血,测定血中IL-2、sIL-2R量,同时作CRP试验。结果表明,施行中等手术胆囊摘除总胆管切开引流术和半结肠切除术对IL-2/sIL-2R系统的影响与患者术前的水平有关。原先异常程度或轻或重,术后影响亦或轻或重,但均未见统计学差异。3例直肠癌患者施行miles氏手术,术后出现明显IL-2量下降,sIL-2R量增高,持续时间长。因此,初步说明创伤大的手术在一定程度上影响机体的IL-2/sIL-2R系统。并可从中发现规律,采取措施,具有一定的临床价值。

关 键 词:白介素2(IL-2)  可溶性白介素2受体(sIL-2R)  急性时相蛋白(CRP)  外科手术

The Dynamic Change of Serum IL-2/sIL-2R System Pre- and Post-Surgical Operations in Different Cases
Pan Leida,Chen Hongyao,Zhang Guangjin,Lu Qing,Liu Decong,Zhu Jinghui. The Dynamic Change of Serum IL-2/sIL-2R System Pre- and Post-Surgical Operations in Different Cases[J]. Current Immunology, 1997, 17(2): 89-91
Authors:Pan Leida  Chen Hongyao  Zhang Guangjin  Lu Qing  Liu Decong  Zhu Jinghui
Abstract:The results indicated that in moderate operations of 15 cholecystectomy/ choledochotomy and 10 hemicholectomy cases, the levels of IL-2/sIL-2R in the process of operation were consistent to the preoperative levels. Whether the degree of level changes was closely related to the previous levels before operation. Whereas in big operations of 3 rectal cancer cases for Miles' operation, the IL-2 was found dropped, but sIL-2R increased significantly and maintained in post operative period. It is thus revealed that operations with big traumas might affect to a certain degree the IL-2/sIL-2R system of the patient, the clinical significance of which should therefore be taken into considerations.
Keywords:IL-2  sIL-2R  CRP  Surgical operation
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