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作者对12例阿米巴肝脓肿的诊断采用了对流免疫电泳、间接血凝试验及免疫扩散试验。抗原为纯培养的溶组织内阿米巴可溶性浸出物。12例的年龄18~55岁。发热时间从1个月到5个月不等。患者都呈急性病容,体温38~40C之间。其中7例有肝肿大及压痛,4例有腹泻史,但只有1例在粪便中找到溶组织内阿米巴。9例白细胞总数超过10,000/立方毫米,5例胆红质超过1毫克%,7例碱性磷酸酶升高。9例先进行对流免疫电泳,8例阳性;此后其他2种血清诊断试验也呈现阳性。4例肝脏同位素扫描显示有缺损。胸部X线摄片,7例显示右膈胸膜炎。
The authors of 12 cases of amoebiasis abscess diagnosis using convective immuno-electrophoresis, indirect hemagglutination test and immune spread test. The antigen is a pure culture of Entamoeba histolytica soluble extract. 12 cases of age 18 to 55 years old. Fever time from 1 month to 5 months. Patients were acute disease, body temperature between 38 ~ 40C. Seven of them had hepatomegaly and tenderness, and four had diarrhea history, but only one of them found Entamoeba histolytica in feces. The total number of 9 white blood cells exceeded 10,000 per cubic millimeter, 5 cases of bilirubin exceeded 1 mg%, and 7 cases of alkaline phosphatase increased. In the 9 cases, convection immuno-electrophoresis was performed first, and 8 cases were positive. The other 2 serum diagnostic tests were also positive afterwards. Four cases of liver isotope scan showed defects. Chest radiography, 7 cases showed right pleurisy.