9091ÃÀ¸ß÷

English

ÈÏ×¼ÃâÒß¡°ÉÚ±ø¡±C1q£¬ÃâÒßÐÔÉö²¡ÕïÁƸü¸ßЧ

°ä²¼ÓÚ£º2025-09-19

ÎÄÕÂÆðÔ´£º[ÖÐÎÄ]9091ÃÀ¸ß÷ÉúÎï



ý½é

ÔÚ·çʪÃâÒ߿ơ¢ÉöÄÚ¿ÆÁÙ´²Êµ¼ÊÖУ¬Óйؼ²²¡»¼ÕßȺÌå²»½ö»ùÊýÖØ´ó£¬½üÄêÀ´¸ü³öÏÖ³ÖÐøÉÏÉýÇ÷Ïò£¬¸øÕïÁƹ¤×÷´øÀ´²»Ó×ÌôÕ½ ¡£ÆäÖУ¬²¹ÌåÓйØÖ¸±êµÄ¼ì²âЧÁ¦ÎÊÌâÓÈΪ͹Æð£º

  • ²»Ãô¸Ð£º²¿ÃŻÆÚÀÇ´¯»¼ÕßC3¡¢C4ˮƽÕý³££¬µ¼Ö©¼ì

  • ²»ÌØÒ죺C3¡¢C4½µµÍÒ²¼ûÓÚÆäËûϰȾÐÔ¼²²¡£¬ÌØÒìÐÔ²»¼°

  • ²»ÔçÆÚ£º´«Í³Ö¸±êÓÐʱÎÞ·¨·´Ó³¼«ÔçÆÚµÄ²¹Ì弤»î

ÁÙ´²¼±Ðè¸ü»îÂç¡¢ÌØÒì¡¢ÄÜÔç²¶²¹Ì弤»îÐźŵıêÖ¾Î²¹ÌåC1qµÄ³öÏÖΪ´ËÌṩÁËз½Ïò ¡£



ÏîÄ¿½éÉÜ


²¹Ìåϵͳ£ºÓÉ´æÔÚÓÚѪҺ¡¢ÌåÒº¼°Ï¸°ûĤ±í±íÉϵÄÒ»×éÓµÓÐø»îÐԵĵ°°×ÖÊ×é³É£¬ÊÇÃâÒß³ÁÒª²¿ÃÅ£¬ÖØÒªÆðЭÖú¿¹Ìå¶Ï¸ù¿¹Ô­µÄ×÷Ó㬺¬C1-C9¹²9ÖֳɷÖ ¡£


²¹ÌåC1q£ºÊÇC1µÄ³ÁÒª³É·Ö£¬·Ö×ÓÁ¿39000£¬Îª²¹Ìå·Ö×ÓÖзÖ×ÓÁ¿×î´óµÄ¦ÃÇòµ°°× ¡£C1qÊDz¹Ìå¾­µäõè¾¶³ÁÒªµÄÆô¶¯·Ö×Ó£¬¼¤»îºó¶Ï¸ùÃâÒ߸´ºÏÎï¡¢µòÍöÓ×Ì壬»¹ÄÜÖ±½Ó¼ø±ðÓë¶Ï¸ùµòÍöϸ°û£¬Î¬³Ö»úÌåÃâÒßÓë²»±ä[1] ¡£C1qȱµã»òÖ°ÄÜ×è°­£¬¾Í»áµ¼ÖÂÉÏÊöÉúÀí¹ý³Ì²»ÄÜÓÐЧ½øÐÐ ¡£


1



ÁÙ´²Òâ˼


01??²¹ÌåC1qÓë×ÔÉíÃâÒßÐÔ¼²²¡

ϵͳÐÔºì°ßÀÇ´¯(SLE)ÊÇÒ»ÖÖµäÐ굀Ⴎ÷¹ÙÌØÒìÐÔ¡¢×ÔÉíÃâÒßÐÔ¼²²¡£¬¶àÖÖ×ÔÉí¿¹ÌåµÄ²úÉú¼°²¹ÌåϵͳµÄ±ä¶¯ÊÇSLE×îÖØÒªµÄ²¡Àí±ä¶¯ ¡£×êÑÐÅú×¢£¬SLE»¼ÕßѪÇåC1qˮƽÏÔÖø½µµÍ£¬ÇÒËæ×Ų¡ÇéµÄ±ä¶¯¶ø±ä¶¯£¬²¹ÌåC1qµÄˮƽ¿ÉÄÜ×÷ΪSLE»¼Õß¼²²¡Õï¶ÏºÍÁÆÐ§ÆÀ¹ÀµÄ¿¿µÃסƾ¾Ý[2] ¡£


02??²¹ÌåC1qÓëÉö²¡

C1qÉö²¡ÊÇÒ»ÖÖÁÙ´²ÉÙ¼ûµÄÃâÒß²¡ÀíÐÍÉöÓ×ÇòÉöÑ×£¬¶à¼ûÓÚ¶ùͯºÍÇàÉÙÄê[3] ¡£C1qÉö²¡»¼Õß²û·¢ÎªÉöÓ×ÇòÏµÄ¤Çø¸ßÇ¿¶ÈC1q³Á»ý£¬Ò²Äܹ»°éÓÐÆäËû³É·ÖµÄ³Á»ý[4] ¡£

ÀÇ´¯ÐÔÉöÑ×£¨LN£©ÊÇSLE»¼Õß×îÑϳÁµÄ²¢·¢Ö¢Ö®Ò»£¬Óжà´ï20%µÄSLE»¼ÕßÔÚÉöΣÏÕÔ¼10Äêºó·¢Õ¹ÎªÖÕÄ©ÆÚÉö²¡£¬ÆäѪÇå²¹ÌåC1qˮƽÏÔÖø½µµÍ£¬ÓëC1qÉö²¡ÕýºÃÏà·´ ¡£


03??²¹ÌåC1qÓëÐÄѪ¹Ü²¡

²¹ÌåϵͳÊÇÏνÓÏÈÐÔ×ÓºÍÊÊÓ¦ÐÔÃâÒßµÄÇÅÁº£¬¶àÖÖ²¹Ìå³É·Ö¿Éͨ¹ýÓ°ÏìÑ×Ö¢·´Ó³¡¢Ñª¹Ü³ÁËÜ¡¢ÑªË¨Ðγɵȹý³Ì£¬²Î¼Ó¶¯ÂöÖàÑùÓ²»¯µÄ²úÉúºÍ·¢Õ¹[5] ¡£

×êÑз¢ÏÖ£¬¼±ÐÔÐĹ£·¢²¡ºóѪÇåC1qˮƽ½µµÍÊÇÐÄË¥µÄ¶ÀÁ¢Î£ÏճɷÖ£¬¶ÔÐÄË¥²úÉúÓп϶¨Ô¤²â¼ÛÖµ[6] ¡£


04??²¹ÌåC1qÓëÆäËû

ϰȾ£ºËæ×Å»úÌåϰȾ½øÐÐÐÔ¼Ó³Á£¬µ±½øÈëŧ¶¾Ö¢½×¶Îʱ£¬»¼ÕßѪÇåC1qˮƽÏÔÖø½µµÍ£¬ÇÒÓëŧ¶¾Ö¢µÄÑϳÁˮƽ¡¢Æ÷¹ÙÇÖº¦¼°ÄýѪְÄÜÇ×êÇÓйØ[7] ¡£

Ö×Áö£ºÄ³Ð©Ö×ÁöÀàÐÍ¿ÉÄܵ¼ÖÂC1qˮƽµÄÒì³£µßô¤£¬ÕâÄܹ»ÓÃ×÷¼²²¡»î¶¯¶ÈµÄÅúʾ»òÔ¤ºóÆÀ¹ÀµÄ²¹³äÖ¸±ê[8] ¡£


ÊʼìÈËȺ


ËùÓÐÒÉ»ó»òÈ·Õï×ÔÉíÃâÒß² ¡£¨ÓÈÆäÊÇϵͳÐÔºì°ßÀÇ´¯£©µÄ»¼Õߣ¬ÒÔ¼°Ô­Òò²»Ã÷µÄÉöÑ×»¼Õߣ¬¶¼±ØÒª²é³­²¹ÌåC1q ¡£¾ßÌåÈçÏ£º

?È·ÕïµÄÀÇ´¯»¼Õߣº¶¨ÆÚ¸´²é£¬¼à¿Ø²¡Çé

?ÒÉËÆÀÇ´¯µÄ»¼Õߣº¸¨ÖúÕï¶Ï

?Ô­Òò²»Ã÷µÄÉö²¡»¼Õߣº²¡ÒòÈ·ÈÏ

?ÒÉËÆ×ÔÉíÃâÒßÐÔ¼²²¡µÄ»¼ÕߣºÃâÒß¼²²¡É¸²é


»úÄÜÓÅÊÆ



У׼¼°ÖʿؾùΪҺÌ壬½µµÍÊÖ¹¤Îó²îºÍÈËΪÀͶ¯ ¡£


ÊÔ¼Á¾«ÃܶÅ×Å£¬CV£¼5% ¡£

2_rDnm9w


¿¹×ÌÈÅÄÜÁ¦¸üÇ¿£¨intralipid 2.5%£¬RF1500IU/mL£© ¡£

3


Ó×½á


²¹ÌåC1q×÷ΪÃâÒß·ÀÏߵĹؼü¡°Æô¶¯¿ª¹Ø¡±£¬Òâ˼³Á´ó ¡£9091ÃÀ¸ß÷ÉúÎïÍÆ³ö½ºÈéÃâÒß±È×Ç·¨²â¶¨ÊÔ¼ÁºÐ£¬Äܸ¨ÖúÕï¶Ïºì°ßÀÇ´¯µÈ×ÔÉíÃâÒß²¡¡¢Õç±ðÉö²¡ÀàÐÍ£¬»¹¿ÉÖúÁ¦Ï°È¾ÓëÐÄѪ¹Ü¼²²¡ÆÀ¹À£¬ºÏÓ÷çʪÃâÒ߿ơ¢ÉöÄÚ¿ÆµÈ¶à¿ÆÊÒ£¬ÊÊÅäÊг¡¸÷Ö÷Á÷Éú»¯·ÖÎöÒÇ£¬¿¹×ÌÈÅÄÜÁ¦Ç¿£¬Îª½¡¿µ¼à²âÌṩ±ã½Ý¾«×¼Ö§³Ö ¡£



4

×¢£ºÑªÄò¾ù¿É¼ì²âµÄÏîÄ¿£¬ÒÔѪҺ±ê±¾µÄÁÙ´²Òâ˼ΪÖ÷ ¡£


²Î¿¼Îļþ

[1] ·ëÏþÁÕ,ÕÅéª,Íô¿¡¾ü.ѪÇå²¹ÌåC1q¼°Æä¿¹Ìå¼ì²âµÄÁÙ´²Òâ˼×êÑнøÕ¹[J].ÁÙ´²¼ìÑéÔÓÖ¾,2016,34(04):287-289.

[2] ÉòÀ¨,·ë½¨Ã÷,ÀîÎÄÙ»,µÈ.²¹ÌåC1qµÄÖ°Äܼ°ÆäÓëϵͳÐÔºì°ßÀÇ´¯µÄÓйØÐÔ[J].¹ú¼Ê¼ìÑéҽѧÔÓÖ¾,2017,38(17):2469-2471.

[3] ³õÈð,¶¡ºì,ÍõɳÎ÷,µÈ.C1qÉö²¡Ò»Àý[J].ÁÙ´²ÉöÔಡ־,2019,19(12):941-943.

[4] Jennette JC, Hipp CG. Clq nephropathy: A distinct pathologic entity usually causing nephrotic syndrome[J]. Am J Kidney Dis, 1985, 6(2): 103-110.

[5] Îâ¼Î,Íô¿¡¾ü. ²¹ÌåϵͳÔÚ¶¯ÂöÖàÑùÓ²»¯ÐÔÐÄѪ¹Ü¼²²¡ÖеÄ×êÑÐÓëÀûÓÃ[J]. Öлª¼ìÑéҽѧÔÓÖ¾,2020,43(9):855-859.

[6] Óڸ߽¨,ÎéÑî,ÀîÅÊ,µÈ.²¹ÌåC1qˮƽ¶Ô¼±ÐÔÐ£ÉíºóÐÄË¥µÄÔ¤²â¼ÛÖµ[J].ÖйúÁÙ´²Ò½Ñ§, 2022,29(4): 554-558.

[7] Li H, Chen JJ, Hu YH, et al. Serum C1q levels have prognostic value for sepsis and are related to the severity of sepsis and organ damage[J]. J Inflamm Res, 2021, 14: 4589-4600.

[8] ÍõÔÆÁú,ÀîºêÉ­,ÎâÁ¢Ïè,µÈ.ѪÇå²¹ÌåC1q²â¶¨ÔÚ¶ñÐÔÖ×ÁöÕï¶ÏÖеÄÒâ˼[J].½¾ü¾üÒ½´óѧѧ±¨,2023,45(23):2485-2489.


END

ÎÄÕÂÆðÔ´£º9091ÃÀ¸ß÷ÉúÎï

Ôð±à£ºEcho

У¶Ô£ºCassie¡¢Pretty




 
¡¾ÍøÕ¾µØÍ¼¡¿