The relationship betweem plasma endotoxin and hepatic fibrosis indexes and hepatic pathology in patients with chronic hepatitis B.
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摘要: 探讨慢性乙型肝炎血浆内毒素水平与肝纤维化指标及肝脏病理的关系 ,住院的 75例慢性乙型肝炎患者采用基质显色法检测血浆内毒素 (ET)水平 ,同时用放射免疫法测定血清肝纤维化指标 :HA、LN、PC—Ⅲ和Ⅳ—C ,以同期健康体检正常者 15例作对照。并对其中 2 0例患者行肝组织活检。结果显示 :慢性乙型肝炎患者血浆内毒素水平与肝纤维化指标呈正相关 ;活检病例病理分级、分期与血清肝纤化指标及内毒素水平存在相关性。血清肝纤维化指标与内毒素水平可作为肝脏病理损害的判断指标之一 ;内毒素血症在肝纤维化发生发展中起重要作用Abstract: To study the relationship of plasma endotoxin levels and hepatic indexes and hepatic pathology.To confirm the relationship between ET and hepatic fibrosis indexes.Plasma ehdotoxin level was measured by using chromogenic limulusamebocyte lysate (LAL) assay, hepatic fibrosis indexes with radioimmunoassay (RIA) , in 75 patients with chronic liver disease from june 2002 to July 2003.Hepatic biopsy was performed for 20 patients.The normal control 15 were measured at the same time. There was a positive correlation in ET and hepatic fibrosis indexes.There was a positive correlation in ET and hepatic fibrosis indexes.There was a positive correlation between pathology grade and stagine and ET and hepatic fibrosis indexes.We can draw conclutions that the plasma ET and hepatic fibrosis indexes are objective evidences in the impairment of hepatic pathology.Endotoxemia plays an important role in the course of hepatie fibrosis and its development.
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Key words:
- liver fibrosis /
- plasma endotoxin /
- serum hepatic fibrosis indexes /
- chronic hepatitis
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