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Acute phase reactionAPRP (acute phase reaction protein) is a kind of protein that causes inflammation, infectionmiocardial infarctionandtumourUnder such circumstances, the plasma concentration changes significantlyprotein。includeα 1-Antitrypsin(α1-AT)、α 1-acid glycoprotein(α1-AG)、Haptoglobin(Hp)、Ceruloplasmin(CER)、C4、C3Fibrinogen(FIB), C-reactionGlobulin(CRP)Wait.Its plasma concentration is in the range of inflammationtrauma, myocardial infarction, infection, tumor, etc.There are three other proteins:Prealbumin、albuminandtransferrinA corresponding low level appears.The aboveProteoidThey are collectively called acute phase reaction proteins, and this phenomenon can be called acute phase reaction.This is the bodydefense mechanismThe detailed mechanism is not yet very clear.When the body is in the state of inflammation or injuryTissue necrosisAnd the increase of organizational updates,Plasma proteinA series of characteristic changes have emerged, which are related to theTime courseRelevant, which can be used to identify acuteSubacuteAnd chronicPathological state。To some extent, it is also related to the nature and scope of pathological damage.For example, simple surgical trauma,C-reactive proteinAnd α 1AntichymotrypsinIt rises within 6-8 hours.Then, α 1AG increased within 12 hours.AAT, Hp, C4 andFibrinogenAnd finally C3 and CER increase, reaching the main peak within 2-5 days, accompanied byPA, Alb and TRF.If there is no concurrent infectionimmunoglobulinThere can be no special changes, α 2MG can also beunchanged。Therefore, combining the last several items can be used to monitor whether patients are accompaniedwater lossandBlood volumeIndicators of change.
Its plasma concentration is higher in inflammation, traumamiocardial infarction, infection, tumor, etc.There are three other proteins: prealbumin, albumin andtransferrinA corresponding low level appears.These proteins are collectively called acute phase reaction proteins, and this phenomenon can be called acute phase reaction.This is a part of the body's defense mechanism, and its detailed mechanism is not yet very clear.
When the body is in the state of inflammation or injuryTissue necrosisAnd the increase of organizational updates,Plasma proteinA series of characteristic changes have emerged successively, which are related to the time course of inflammatory trauma and can be used to differentiate acute, subacute and chronicPathological state。To some extent, it is also related to the nature and scope of pathological damage.
For example, simple surgical trauma,C-reactive proteinAnd α 1AntichymotrypsinIt rises within 6-8 hours.Then, α 1AG increased within 12 hours.AAT, Hp, C4 andFibrinogenIncrease of, finallyC3And CER increase, reaching the main peak within 2-5 days, accompanied byPA, Alb and TRF.If there is no concurrent infectionimmunoglobulinThere can be no special changes, α 2MG can also beunchanged。Therefore, combining the last several items can be used to monitor whether patients are accompaniedwater lossandBlood volumeIndicators of change.