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危重病患者的代偿性抗炎反应综合征(CARS)。

The compensatory anti-inflammatory response syndrome (CARS) in critically ill patients.

作者信息

Ward Nicholas S, Casserly Brian, Ayala Alfred

机构信息

Division of Pulmonary, Critical Care, and Sleep Medicine, The Warren Alpert Medical School of Brown University, 593 Eddy Street, APC 707, Providence, RI 02912, USA.

出版信息

Clin Chest Med. 2008 Dec;29(4):617-25, viii. doi: 10.1016/j.ccm.2008.06.010.

DOI:10.1016/j.ccm.2008.06.010
PMID:18954697
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2786900/
Abstract

Like the systemic inflammatory response syndrome (SIRS), the compensatory anti-inflammatory response syndrome (CARS) is a complex pattern of immunologic responses to severe infection or injury. The difference is that while SIRS is a proinflammatory response tasked with killing infectious organisms through activation of the immune system, CARS is a global deactivation of the immune system tasked with restoring homeostasis. Much research now suggests that the timing and relative magnitude of this response have a profound impact on patient outcomes.

摘要

与全身炎症反应综合征(SIRS)一样,代偿性抗炎反应综合征(CARS)是对严重感染或损伤的一种复杂免疫反应模式。不同的是,SIRS是一种促炎反应,其任务是通过激活免疫系统来杀灭感染性生物体,而CARS是免疫系统的全面失活,其任务是恢复体内平衡。现在许多研究表明,这种反应的时机和相对强度对患者的预后有深远影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddc6/2786900/b41607f74a52/nihms-160579-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddc6/2786900/b41607f74a52/nihms-160579-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddc6/2786900/b41607f74a52/nihms-160579-f0001.jpg

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本文引用的文献

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[Study on monocyte HLA-DR expression in critically ill patients after surgery].[手术后重症患者单核细胞 HLA - DR 表达的研究]
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Negative signaling contributes to T-cell anergy in trauma patients.负向信号传导导致创伤患者的T细胞无反应性。
Crit Care Med. 2007 Mar;35(3):794-801. doi: 10.1097/01.CCM.0000256847.61085.A5.
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[Clinical value of monitoring CD14+ monocyte human leukocyte antigen (locus) DR levels in the early stage of sepsis].
脓毒症存活小鼠抗感染能力增强:脂质代谢和髓系细胞重编程的作用
Front Pharmacol. 2025 May 30;16:1588987. doi: 10.3389/fphar.2025.1588987. eCollection 2025.
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The relationship between expression level and gene polymorphism of inflammatory factors and sepsis risk.炎症因子的表达水平、基因多态性与脓毒症风险之间的关系。
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Navigating Hemorrhagic Shock: Biomarkers, Therapies, and Challenges in Clinical Care.应对失血性休克:生物标志物、治疗方法及临床护理中的挑战
Biomedicines. 2024 Dec 17;12(12):2864. doi: 10.3390/biomedicines12122864.
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Hemogram-Based Phenotypes of the Immune Response and Coagulopathy in Blunt Thoracic Trauma.钝性胸部创伤中基于血常规的免疫反应和凝血障碍表型
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ACS Sens. 2025 Jan 24;10(1):4-14. doi: 10.1021/acssensors.4c02569. Epub 2024 Dec 18.
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