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[烧伤或创伤后脓毒症免疫状态的精准评估及其意义]

[Precision evaluation of immune status and its significance in sepsis after burns or trauma].

作者信息

Yao Y M, Luan Y

机构信息

Trauma Research Center, the First Hospital Affiliated to the PLA General Hospital, Beijing 100048, China.

出版信息

Zhonghua Shao Shang Za Zhi. 2018 Nov 20;34(11):786-789. doi: 10.3760/cma.j.issn.1009-2587.2018.11.013.

Abstract

Sepsis induced by major burns, trauma, and hemorrhage, remains a major cause of death of patients in intensive care units, and it may result in both the widespread activation and dysfunction of the innate as well as adaptive responses in host immune system. A large amount of information concerning subsets of innate and adaptive immune cells in sepsis has implicated that these cells, including neutrophils, macrophages, dendritic cells, T lymphocytes, regulatory T lymphocytes, and natural killer cells, have profound effects on immunoreactivity during acute insults or sepsis through modulating multiple receptor expressions or cytokine secretion, in turn contributing to the development and outcome of sepsis. It is of great significance that precision monitoring of immune function and the related indicators might help to assess the risk of secondary infection, the prognosis of septic patients, and guide the treatment of septic complications.

摘要

由严重烧伤、创伤和出血引起的脓毒症仍然是重症监护病房患者死亡的主要原因,它可能导致宿主免疫系统固有免疫和适应性免疫反应的广泛激活及功能障碍。大量关于脓毒症中固有免疫和适应性免疫细胞亚群的信息表明,这些细胞,包括中性粒细胞、巨噬细胞、树突状细胞、T淋巴细胞、调节性T淋巴细胞和自然杀伤细胞,在急性损伤或脓毒症期间通过调节多种受体表达或细胞因子分泌对免疫反应性产生深远影响,进而影响脓毒症的发展和结局。精确监测免疫功能及相关指标对于评估继发感染风险、脓毒症患者的预后以及指导脓毒症并发症的治疗具有重要意义。

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