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特发性血小板减少性紫癜与HCMV活动性感染
引用本文:王明丽 曹慧. 特发性血小板减少性紫癜与HCMV活动性感染[J]. 安徽医科大学学报, 1996, 31(1): 16-18
作者姓名:王明丽 曹慧
作者单位:安徽医科大学微生物学教研室,安徽医科大学校医院,安徽医科大学第一附属医院儿科,永久自行车合肥股份有限公司医务所,安徽动力总厂医院内科
摘    要:用间接ELISA法对38例临床确诊为特发性血小板减少性紫癜(ITP)患儿和31例健康儿童血浆(血清)进行人巨细胞病毒(HCMV)IgG、IgM检测,其中30例患儿同时进行了血灰黄层白细胞病毒分离。结果:ITP患儿中有15例检出高效价HCMVIgG,阳性率为39.47%;有6名检出HCMVIgM,阳性率为15.79%;健康儿童中高效价HCMVIgG检出者仅2例,阳性率为6.45%;HCMVIgM均为阴性。经统计学处理两组IgG差异有高度显著性,说明ITP患儿有HCMV活动性感染且可能是ITP反复发作的重要原因之一。提示对ITP患儿进行HCMV活动性感染的检测,可为临床预测、诊断及治疗提供有价值的参考依据。

关 键 词:紫癜.血小板减少性/病因学,巨细胞病毒感染/并发症,IgG,IgM,ELISA,儿童

Study of active cytomegalovirus infection in children with immune thrombocytopenic purpura
Wang Mingli,Cao Hui,Shi Baifen et al. Study of active cytomegalovirus infection in children with immune thrombocytopenic purpura[J]. Acta Universitis Medicinalis Anhui, 1996, 31(1): 16-18
Authors:Wang Mingli  Cao Hui  Shi Baifen et al
Affiliation:Wang Mingli;Cao Hui;Shi Baifen et al
Abstract:Human cytomegalovirus (HCMV) IgG,IgM antibodies were detected with ELISA in 69 serum specimens from 38 children with immune thrombocytopenic purpura(ITP) and 31 children of normal controls. HCMV isolates from 30 leucocytes specimens with ITP were also studied. The results showed that positive rate of IgG and lgM of ITP children was 39. 47% and 15. 79% respectively, and that of normal controls was 6. 45% and negative respectively. IgG showed significant difference between two groups, indicating that children of active HCMV infection with ITP might have a relapse. The detection was valuable in clinical prognosia, analysis of condition, observation of theraputic effects for ITP children.
Keywords:purpura. thrombopenic/etiol  cytomegalovirus inclusions/compl  immunoglobulins. gammachain  immunoglobulins. mu chain  enzymelinked immunosorbent assay  child  
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