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放射免疫法检测36例重型肝炎病人的空腹血清胰岛素水平,其中24例慢性重型肝炎病人数值为43.18±27.12muL-1,12例亚急性重型肝炎病人为28.91±12.77muL-1,二者均明显高于正常对照组(P<0.01)。比较重型肝炎病人存活与死亡组,发现死亡组病人的空腹血清胰岛素水平明显高于存活组,而存活组病人危重期却又明显高于恢复期。结果提示重型肝炎病人可出现高胰岛素血症,其严重程度对判断患者病情及预后有一定的参考价值。
The fasting serum insulin levels of 36 patients with severe hepatitis were detected by radioimmunoassay. The value of 24 chronic severe hepatitis patients was 43.18 ± 27.12muL-1, and that of 12 patients with severe acute hepatitis was 28.91 ± 12.77muL- 1, both were significantly higher than the normal control group (P <0.01). Compared with the survival and death group of patients with severe hepatitis, the fasting serum insulin level in the death group was significantly higher than that in the survival group, while the survival group was significantly higher than the recovery period in the critical period. The results suggest that patients with severe hepatitis hyperinsulinemia can occur, the severity of the judgment of the patient’s condition and prognosis of a certain reference value.