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[多器官功能衰竭作为危重症状态下器官修复过程免疫失调的一种表现]

[Multiple organ failure as a manifestation of immune dysregulation of reparative processes in the organs during critical states].

作者信息

Onishchenko N A, Suskova V S, Tsypin A B, Marenshaov A M, Ermakova L P

出版信息

Anesteziol Reanimatol. 2001 May-Jun(3):54-8.

Abstract

The authors claim that the specific clinical symptoms of multiple organ failure (MOF) are explained by impaired interactions of two functionally related systems: the immune system (IS) responsible for regeneration and the reticuloendothelial system (RES) responsible for inflammation. Organ regeneration during MOF is suppressed as a result of suppressed morphogenetic function of lymphocytes, imbalanced macrophage-lymphocyte interactions, and RES hyperactivation. For prevention and treatment of MOF, the authors recommend stimulation of reparative processes in the organs by splenic therapy: assisted xenospleen, infusion of splenic perfusate or xenosplenic peptides. Xenospleen therapy is preferable to other methods of immunocorrection due to more expressed morphogenetic activity of splenic T lymphocytes and their cytokines.

摘要

作者声称,多器官功能衰竭(MOF)的特定临床症状可由两个功能相关系统相互作用受损来解释:负责再生的免疫系统(IS)和负责炎症的网状内皮系统(RES)。MOF期间的器官再生受到抑制,这是由于淋巴细胞的形态发生功能受到抑制、巨噬细胞与淋巴细胞相互作用失衡以及RES过度激活所致。为预防和治疗MOF,作者建议通过脾脏疗法刺激器官的修复过程:辅助异种脾、输注脾脏灌注液或异种脾肽。由于脾脏T淋巴细胞及其细胞因子具有更明显的形态发生活性,异种脾疗法比其他免疫纠正方法更可取。

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