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乳胶凝集试验

乳胶凝集试验的相关文献在1980年到2022年内共计145篇,主要集中在畜牧、动物医学、狩猎、蚕、蜂、内科学、临床医学 等领域,其中期刊论文131篇、会议论文13篇、专利文献191775篇;相关期刊96种,包括现代中西医结合杂志、中国病毒学、实验与检验医学等; 相关会议12种,包括中华医学会第一届感染与抗微生物治疗论坛、第八届全国感染性疾病及抗微生物化疗学术会议、第三届全国细菌耐药监测与临床专题学术会议、第三届北京协和呼吸病学峰会等;乳胶凝集试验的相关文献由453位作者贡献,包括陈焕春、何启盖、吴斌等。

乳胶凝集试验—发文量

期刊论文>

论文:131 占比:0.07%

会议论文>

论文:13 占比:0.01%

专利文献>

论文:191775 占比:99.92%

总计:191919篇

乳胶凝集试验—发文趋势图

乳胶凝集试验

-研究学者

  • 陈焕春
  • 何启盖
  • 吴斌
  • 张羽
  • 金梅林
  • 陈溥言
  • 喻正军
  • 夏春艳
  • 徐晓娟
  • 汤明
  • 期刊论文
  • 会议论文
  • 专利文献

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    • 孟令楠; 冀红芹; 范俊娟; 张文晶; 王利新; 贾富勃
    • 摘要: 山羊传染性胸膜肺炎(CCPP)是一种由山羊支原体山羊肺炎亚种引起的严重疾病,偶有绵羊和野生反刍动物感染,具有超高的发病率和病死率。CCPP的病理特征为病变肺呈葡萄酒色,可完全肝化,通常伴随纤维素性胸膜炎,胸腔积聚大量积液。CCPP可通过血清学试验、DNA扩增(PCR、RFLP、杂交)和测序进行诊断。目前,抗生素疗法是CCPP的主要治疗方式,但长期使用抗生素易产生抗药性。文章针对不同时期提出的诊断方法和治疗措施进行梳理总结,以期为CCPP的防控和治疗提供参考与新思路。
    • 孙思庆; 徐婷; 姚羽
    • 摘要: 目的 通过总结32例人免疫缺陷病毒(HIV)抗体阴性的肺隐球菌病患者的临床特征并进行文献复习,提高对HIV阴性肺隐球菌病的认识.方法 回顾性分析2014年1月至2020年6月在南京中医药大学附属南京医院和南京市胸科医院32例被诊断为肺隐球菌病的HIV阴性住院患者的临床特征.结果 纳入的32例患者性别比例(男:女)为1:1.33;平均年龄为(49.34±13.26)岁;其中7例合并有基础病;无器官移植术史.胸部CT扫描表现分为四个类型:孤立的包块或结节影、斑片状渗出阴影、弥漫性病变和混合型.32例患者中均接受疗程6~12个月的氟康唑治疗,随访6个月发现肺部病灶均有不同程度的吸收.结论 HIV阴性肺隐球菌病患者胸部CT扫描多表现为多发或单发结节和肿块;乳胶凝集试验阳性有诊断意义,氟康唑初始治疗效果良好.
    • 范广婧; 黄宏; 邹小英; 曾晶晶; 刘唐娟; 罗劲
    • 摘要: 肺隐球菌病常发生于免疫缺陷患者,但近年来,肺隐球菌病在无免疫功能缺陷或基础疾病的人群中发病率逐年增加,糖皮质激素治疗为主要危险因素;哮喘患者长期激素治疗易继发真菌感染,多为曲霉菌感染,合并隐球菌罕见;哮喘常伴随嗜酸细胞升高,各种病因继发嗜酸细胞增多可致哮喘样发作症状,真菌感染继发嗜酸细胞增多,常见于曲霉菌感染(如变应性支气管肺曲菌病),隐球菌感染继发嗜酸细胞增多较为少见.本文就1例哮喘合并肺隐球菌病继发嗜酸细胞增多病例给予报道,以提高临床医师对该类疾病的认识.
    • 曹磊; 崔学范; 周敏
    • 摘要: 目的 通过总结53例非免疫缺陷肺隐球菌病患者的临床特征,提高对非免疫缺陷肺隐球菌病的认识.方法 回顾性分析2011年4月至2017年2月行CT引导下经皮肺穿刺活检或外科手术病理证实的肺隐球菌病患者的临床资料.结果 共53例患者,其中男30例,女23例;年龄20-86岁,平均51岁;其中31例合并有基础病;所有患者均未行器官移植术,且HIV指标均为阴性.胸部CT扫描表现为实变渗出灶、结节状、团块状以及混合型.1例行胸腔镜手术切除治疗,经手术病理证实.52例经CT引导下经皮肺穿刺活检病理证实.53例患者中47例予以氟康唑、6例予以伊曲康唑治疗,疗程6-12个月,随访6个月-33个月.肺部病灶均有不同程度的吸收.结论 非免疫缺陷肺隐球菌病的临床表现无特异性,胸部CT扫描多表现为多发或单发结节和肿块.49例乳胶凝集试验阳性,阳性率达92.4%.在随访中,治疗后的乳胶凝集定量试验滴度较治疗前明显下降.随访51例患者中,46例氟康唑治疗中,治愈30例,好转16例;而5例伊曲康唑治疗后均为好转.%Objective To improve the understanding of through summarizing of non-immune deficiency pulmonary cryptococcosis by summarizing the clinical features of 53 patients with non-immune deficiency pulmonary cryptococcosis.Methods The clinical data of non-immune deficiency pulmonary cryptococcosis from April 2011 to February 2017 were retrospectively analyzed.Results A total of 53 patients were selected, including 30 cases of male and 23 cases of female, aging from 20 to 86 with an average of 51 years old.31 cases were complicated with basic diseases.All patients were not given organ transplantation, and the indexes of HIV were negative.Chest CT scans showed the consolidation were seepage oven, nodular, crumb and mixed.1 case was given resection of thoracoscope surgery treatment, confirmed by surgery pathology.The rest 52 cases were pathologically confirmed with CT guided percutaneous lung biopsy.47 of them were given fluconazole and 6 cases received itraconazole for 6-12 months.They were followed-up for 6 months to 33 months.Pulmonary lesions showed different degree of absorption.Conclusion The clinical manifestations of non immune pulmonary cryptococcosis are nonspecific, and chest CT scans usually show multiple or solitary nodules and masses.Latex agglutination test is positive in 49 cases, and the positive rate is 92.4%.During follow-up, the titer of latex agglutination test decreases significantly after treatment.For 46 cases treated with fluconazole, 30 cases are cured and 16 cases improved.All 5 patients treated with itraconazole are improved.
    • 范灿洪
    • 摘要: 为探索满足猪伪狂犬病防治需要、准确、实用的诊断方法,选用乳胶凝集试验、胶体金免疫层析技术、酶联免疫吸附试验三种诊断方法,以求筛选出一种简单、快捷、灵敏、特异的临床检测方法.结果表明:乳胶凝集试验具有敏感、简便、快捷等优点,但其特异性差和假阳性率较高;胶体金免疫试验的成本低廉,对设备的要求不高,但敏感性、特异性等均较差;酶联免疫吸附试验从准确性、灵敏性、特异性等方面都得到比较好的效果.
    • 谢海花; 张宇; 吴绍贵; 李圣聪; 周淑燕; 柳丽娟
    • 摘要: 目的 探讨胶体金免疫层析法(LFA)和乳胶凝集试验(LA)检测隐球菌荚膜多糖抗原对艾滋病患者继发隐球菌感染的诊断价值及治疗观察的临床意义.方法 采用LFA和LA对艾滋病患者继发隐球菌感染治疗前后的脑脊液标本和血清标本行隐球菌荚膜多糖抗原检测,并与脑脊液墨汁染色和真菌培养进行比较,评价其诊断的灵敏度和特异度.同时动态观察治疗期间隐球菌荚膜多糖抗原滴度的变化,和LFA的干扰因素.结果 LFA和LA对脑脊液标本隐球菌检测的敏感度分别为97.73%和95.45%,血清标本的敏感度也分别为97.73%、95.45%;对脑脊液标本的特异性分别为95.83%、95.83%,对血清标本的特异性分别为89.39%和87.12%.艾滋病继发隐球菌感染患者脑脊液标本中的隐球菌荚膜多糖抗原滴度随着患者病情的好转而逐渐下降,治疗前后脑脊液和血清中荚膜抗原滴度差异均有统计学意义(t=6.309,P<0.001;t=6.814,P<0.001).结论 LFA与LA适用于隐球菌脑膜脑炎患者的快速诊断;脑脊液隐球菌多糖荚膜抗原的动态监测对艾滋病患者继发隐球菌感染的疗效观察具有重要的参考价值.%Objective To explore the diagnostic value and clinical significance of lateral flow immunoassay (LFA) and latex agglutination test(LA)to detect cryptococcal capsular antigen in AIDS patients with cryptococcal infection.Methods The cryptococcal capsular antigen in CSF and serum were detected by LFA and LA,and compared with cerebrospinal fluid ink staining and fungal culture to evaluate its diagnostic sensitivity and specific degrees.The change of cryptococcal capsular antigen drop degree during treatment,and the interference factor of lateral flow immunoassay were observed dynamically.Results The sensitivity of LFA and LA for detection cryptococcus was 97.73% and 95.45% in cerebrospinal fluid specimens and serum specimen respectively.The specificity was 95.83% respectively in cerebrospinal fluid specimens and 89.39%,87.12% in serum specimen respectively.The cryptococcal capsular antigen drops of AIDS patients with cryptococcus infection in cerebrospinal fluid specimens fell gradually along with treatment.The difference of capsular antigen titer in cerebrospinal fluid and serum before and after treatment had statistical significance.Conclusion LFA and LA are suitable for the rapid diagnosis of cryptococcus meningoencephalitis patients.LFA can short detection time and be more simple to operate and confirm the results.Dynamic monitoring of cryptococcal capsular antigen in cerebrospinal fluid specimens has important reference value to observe the curative efficacy of AIDS patients with cryptococcal infection.
    • 吕群
    • 摘要: 目的目前肺隐球菌病的诊断缺乏金标准,本研究旨在评价乳胶凝集试验对肺隐球菌病的诊断价值,为临床提供参考。方法检索中国知网、维普网、万方数据、Pubmed、EMbase、Web of Science、Sumsearch、TRIP、循证医学中心、CATbank、Cochrance组织、Evidence-baseed health、Netting the Evidence、社区预防服务指南、National Guideline Clearinghouse等国内外数据库或搜索引擎,收集探索乳胶凝集试验对肺炎隐球菌感染诊断价值的诊断性研究,筛选、评价文献并提取数据进行Meta分析,计算灵敏度、特异度、阳性似然比、阴性似然比以及诊断优势比等指标。结果本次研究共检索到287篇相关文献,最终共纳入7个文献,其中5篇研究来自中国,2篇来自日本;发表时间从1993—2012年;共计686例研究对象,其中肺隐球菌病152例,非肺隐球菌病534例。采用QUADAS评分标准评价纳入文献的方法学质量,纳入的7篇文献QUADAS评分均≥9分。使用Rev-Man 5.3软件进行数据分析,分析乳胶凝集试验诊断肺隐球菌病的临床价值。7篇文献的灵敏度为60.00%~100.00%,P<0.000 1,各研究的灵敏度之间存在统计学异质性,特异度为85.71%~100.00%,P<0.000 1,各研究的特异度之间存在统计学异质性。Meta分析结果显示,乳胶凝集试验诊断肺隐球菌病的合并灵敏度为0.80[0.72,0.86],合并特异度为0.99[0.98,1.00]。结论 Meta分析结果证明,乳胶凝集试验对肺隐球菌病具有很高的诊断价值。
    • 殷建团; 杨松; 聂蔚; 黄申晖
    • 摘要: 目的:提高临床医师对肺隐球菌病的认识。方法回顾分析2000年1月-2016年2月期间收治的23例肺隐球菌病的临床资料。结果23例患者临床表现均缺乏特异性;胸部CT表现:59.7%为单发或多发结节、团块影,21.4%为肺部浸润实变影,18.9%为混合病灶。经穿刺活检病理确诊10例、术后病理确诊2例、支气管镜活检病理确诊1例;乳胶凝集试验阳性13例,其中病理与乳胶凝集试验均阳性的5例;脑脊液隐球菌墨汁染色阳性2例。结论肺隐球菌病临床、影像、缺乏特异性;病理检查为金标准、但易漏诊;乳胶凝集试验特异性高,可弥补病理检查不足。%Objective To improve the awareness of pulmonary cryptococcosis ( PC) . Methods The clini-cal data of 23 patients with pulmonary cryptococcosis were retrospectively analyzed. Results Pulmonary cryptococco-sis did not present any specific clinical manifestations. In CT scans of these 23 patients, 59. 7% of them showed sin-gle or multiple nodular mass in their lungs, 21. 4% of them showed infiltration and consolidation of lung tissues, and 18. 9% of them showed mixed lesions in their lungs. 10 cases were pathologically confirmed by the piercing biopsy, 2 cases by postoperstive pathology, 1 case by bronchial mirror biopsy. There were 13 positive cases of latex coagula-tion set test, and 5 cases both with positive latex coagulation set test and pathological examination. There were 2 ca-ses with positive hidden coccus ink dyeing of cerebrospinal fluid. Conclusion The clinical and imaging features of pulmonary cryptococcosis is lack of specificity. Pathological examination is the gold standard, but it is easily missed-diagnosed. Latex agglutination test has high specificity, which can make up for a lack of pathologic examination.
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