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血清IL-1β、TNF-α水平与急性肺血栓栓塞症和骨折的关系
作者:周卫华1 刘卓拉2 王旭2 
单位:1.江苏省老年医院,急诊科,江苏,南京,210024; 2.山西医科大学第二医院,呼吸科,山西,太原,030001
关键词:肺栓塞 骨折 急性病 半胱氨酸天冬氨酸蛋白酶 肿瘤坏死因子α 
分类号:R563.5, R392.11, R683.42
出版年·卷·期(页码):2006·25·第四期(275-277)
摘要:

目的:探讨急性肺血栓栓塞症(PTE)患者及骨折患者血清中的IL-1β、TNF-α质量浓度变化与疾病关系.方法: 用放射免疫法检测18例PTE患者(9例合并股骨骨折,6例合并胫、腓骨骨折)入院当天血清IL-1β、TNF-α质量浓度,并与年龄及性别匹配的20例单纯股骨骨折患者、18例健康人进行对照.结果:PTE组、骨折组、健康对照组血清IL-1β质量浓度分别为(0.7228±0.2654)、(0.3930±0.1996)、(0.2228±0.1594) ng·ml-1,P<0.01,差异有统计学意义;血清 TNF-α质量浓度分别为(1.4094±0.4207)、(1.1540±0.3035)、 (0.9056±0.2923) ng·ml-1, P<0.01,差异有统计学意义.结论:急性肺血栓栓塞症、下肢骨折患者血清IL-1β、TNF-α质量浓度明显增高,这两种细胞因子可能与下肢骨折后易并发急性肺栓塞有关.

Objective To investigate the changes of the level of serum IL-1β and TNF-α in patients with acute pulmonary thromboembolism(PTE) and with fracture of femur bone(one of risk factors for PTE) to evaluate the relation between cytokines and the disease.Methods Radioimmunoassay was applied to measure serum levels of IL-1β、TNF-α in 18 acute pulmonary thromboembolism patients on the day of admission.20 patients undergoing the fracture of femur bone and 18 healthy subjects were selected as two control groups.Results On the day of admission,the median concentrations in serum of IL-1β、TNF-α were(0.722()8±0.265()4) ng·ml^{-1},(1.409()4±0.420()7) ng·ml^{-1},respectively,in the PTE group;(0.393()0±0.199()6) ng·ml^{-1},(1.154()0±0.303()5) ng·ml^{-1},P&lt;0.05,respectively,in the fracture group and(0.222()8±0.159()4) ng·ml^1,(0.905()6±0.292()3) ng·ml^{-1},P&lt;0.000()1,respectively,in the healthy group.Conclusion IL-1β、TNF-α may play roles in the pathogenesis of acute pulmonary thromboembolism

参考文献:

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