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采用酶联免疫吸附法在157例反复呼吸道感染(RRTI)儿童中检测出血清IgG_2缺陷15例;同时发现肺炎球菌多糖抗原(PnPg)特异性IgG_2抗体缺陷26例,其中9例同时伴血清IgG_2缺陷,占15例血清IgG_2缺陷者的60%;脑膜炎球菌多糖抗原(MPs)特异性IgG_2抗体缺陷20例,其中11例同时伴血清IgG_2缺陷。占15例血清IgG_2缺陷者的73%。本文提示:血清多糖抗原特异性IgG亚类抗体缺陷是儿童RRTI的重要原因之一;血清IgG_2正常并不能排除多糖抗原特异性IgG_2抗体缺陷。
Serum IgG_2 deficiency was detected in 15 children with recurrent respiratory tract infection (RRTI) by enzyme-linked immunosorbent assay (ELISA) in 15 cases. Meanwhile, 26 cases of PnPg-specific IgG_2 antibody deficiency were found in 26 cases, of which 9 cases were accompanied with serum IgG_2 deficiency , Accounting for 60% of 15 IgG2-deficient serums; 20 cases of IgG2-specific antibodies against meningococcal polysaccharide antigen (MPs), of which 11 cases were associated with serum IgG2 deficiency. Accounting for 73% of IgG2-deficient patients in 15 cases. This article suggests that: Serum polysaccharide antigen-specific IgG subclass antibody defects is one of the important reasons for RRTI in children; serum IgG_2 normal and can not rule out polysaccharide antigen-specific IgG 2 antibody defects.