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肝硬化患者生化检测结果异常与疾病转归分析 被引量:1
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作者 徐宇畅 淡以锐 +4 位作者 吴海姣 陈梦蝶 虞薇 董春影 于淼 《吉林医药学院学报》 2015年第6期421-424,共4页
目的检测肝硬化患者血清生化和血细胞学指标,探讨异常结果在治疗、监测方面与疾病转归的关系。方法全自动生化分析仪检测生化项目,全自动血球分析仪检测血细胞学项目,全自动血凝仪检测血浆凝血酶原时间和凝血酶原活动度,对患者临床体征... 目的检测肝硬化患者血清生化和血细胞学指标,探讨异常结果在治疗、监测方面与疾病转归的关系。方法全自动生化分析仪检测生化项目,全自动血球分析仪检测血细胞学项目,全自动血凝仪检测血浆凝血酶原时间和凝血酶原活动度,对患者临床体征及症状进行咨询统计。结果与对照组比较,肝硬化患者血清酶活性、总胆汁酸、直接胆红素、凝血酶原时间、白蛋白、球蛋白和白细胞、血红蛋白、红细胞、血小板总数结果异常,差异显著(P<0.05或P<0.01),肝硬化患者固有的临床体征和症状表现突出。结论肝硬化患者血清生化和细胞学项目检测结果异常,反映了患者病情严重,是该病终末期的结局,且患者特有的体征和并发症出现是肝功能衰竭的标志。异常结果检出率越多,预后则不良。 展开更多
关键词 肝硬化 血细胞学检测 生化检测
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A Virus-type Specific Serological Diagnosis of Flavivirus Infection Using Virus-like Particles 被引量:3
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作者 Min QING Zhi-ming YUAN Pei-Yong Shi 《Virologica Sinica》 SCIE CAS CSCD 2009年第2期136-145,共10页
Many flaviviruses are emerging and reemerging pathogens, such as West Nile virus (WNV), dengue virus (DENV), yellow fever virus (YFV), and Japanese encephalitis virus. Serological assay is the dominant method fo... Many flaviviruses are emerging and reemerging pathogens, such as West Nile virus (WNV), dengue virus (DENV), yellow fever virus (YFV), and Japanese encephalitis virus. Serological assay is the dominant method for diagnosis of flavivirus infections in human. Because antibodies generated during flavivirus infections cross-react with other flavivirus members, plaque reduction neutralization test (PRNT) is the only available assay to determine the infecting flavivirus type. Since PRNT requires culturing raw viruses, it must be performed in biosafety levet-3 or level-4 containment for many flaviviruses, and takes more than ten days to complete. To overcome these problems, we have developed flavivirus viral-like particles (VLPs) that could be used to replace raw viruses in the neutralization assay. The VLPs were prepared by trans packaging a luciferase-reporting replicon with viral structural proteins. This novel assay involves three simple steps: (i) VLPs from a panel of flaviviruses are incubated with flavivirus-infected sera at 37℃ for 1 h; (ii)the neutralized VLPs are used to infect Vero cells; and (iii) the infected cells are measured for luciferase activities at 22 h post-infection. The virus type whose VLP is most efficiently neutralized by the serum specimen (as quantified by the luciferase activities) is the etiologic agent. As a proof-of-concept, we show that a WNV-infected mouse serum neutralized the WNV VLP more efficiently and selectively than the DENV and YFV VLPs. Our results demonstrate that the VLP neutralization assay maintains the "gold standard" of the classic PRNT; importantly, it shortens the assay time from 〉10 days to 〈1 day, and can be performed in biosafety level-2 facility. 展开更多
关键词 West Nile virus Neutralization assay Viral-like particle Serological diagnosis Flavivirus packaging
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