【免疫依赖病理诊治错误(原概念)】。

Likars'ka sprava Pub Date : 2015-10-01
V E Kazmirchuk, V V Tsaryk, D V Maltsev, V V Dyseeva, T V Voytyuk, E I Sidorenko, I I Solon'ko, A V Pyankova
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引用次数: 0

摘要

基于多年的经验,我们在2009年开发了混合方法治疗患者传染病的最初概念。2013年至2015年6月,在2.5年的时间里,申请了3965例未经初步诊断证实的患者的咨询诊断帮助。病理验证的基本原理是消除各种原因引起的免疫抑制。根据我们广泛的研究和观察,经常发现蛔虫病(55%)和贾第虫病(65%)是患者免疫抑制的可能原因。在13%的患者中发现粘膜念珠菌病。在频繁和慢性疾病患者中,我们发现40%的人存在eb病毒(唾液中的定量聚合酶链反应)的活性形式。评估表现免疫图的标准是年龄下限的两个信号偏差的减少。在研究中,1015例患者中有99例(9.7%)的中性粒细胞髓过氧化物酶含量下降(< 60%),表明白色念珠菌在组织中长期感染并持续存在是相当常见的原因。在淋巴细胞亚群的研究中,经常显示自然杀伤细胞的数量减少(占受试者的26.7%),这表明先天性免疫最重要的因素之一下降。在体液性免疫疾病中,IgG总水平(2.4%)及其亚类IgG1水平(22.1%)下降,提示IgG亚类的测定即使与正常血清总水平测定也有重要的诊断价值。因此,大约76%的患者经常出现免疫力下降。患者出现由各种细菌、真菌、病毒和原生动物病原体和蠕虫引起的混合感染。在排除病因、免疫抑制和感染的卫生灶后,对患者进行免疫学研究。只有对患者进行多层次的检查才能确定最终的诊断和适当的治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[ERRORS IN DIAGNOSIS AND TREATMENT OF IMMUNODEPENDENT PATHOLOGY (ORIGINAL CONCEPT)].

Based on many years of experience in 2009, we developed the original concept of a mixed approach to the treatment of infectious diseases in patients. During 2.5 years(from 2013 to June 2015) to have applied for consultative-diagnostic help of 3965 patients who had not verified the primary diagnosis. The basic principle of verification of the pathology of the removal of various causes immunosuppression. Based on our extensive, research and observation was often found in patients ascaridosis (55%) and giardiasis (65%), as a possible cause of immunosuppression. In 13% of patients was found the mucosal candidiasis. Among frequently and chronically ill persons we identified the active forms of Epstein-Barr virus (quantitative polymerase chain reaction in saliva) in 40%. The criterion for assessing performance immunogram was a decrease of two sigmal deviation from the lower age limit. In the study of neutrophil myeloperoxidase content observed decline (< 60%) in 99 (9.7%) of 1015 patients, indicating a fairly common cause of long-term permit infection in the tissues and persistence C. albicans. In the study of lymphocyte subpopulations often demonstrated reduction in the number of natural killer cells (26.7% of subjects), which shows a decline of one of the most important factors of congenital immunity. Among the humoral immune disorders often noted the decrease of total IgG (2.4%) and its subclass IgG1 (22.1%), indicating a significant diagnostic value determination of IgG subclasses it even with normal serum total. Thus, approximately 76% of patients often suffer set of a decrease immunity. Patients developed with mixed infections caused by various bacterial, fungal, viral and protozoan agents and worms. Immunological study of patients should be redynamics after eliminating the causes immunosuppression and sanitation foci of infection. Only multi-level examination of the patient will determine the final diagnosis and adequate treatment.

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