Munster A M
Lancet. 1976 Jun 19;1(7973):1329-30. doi: 10.1016/s0140-6736(76)92658-1.
Severe immunosuppression occurs after major thermal burns, accidental injuries, and extensive surgical operations, and probably contributes substantially to patient morbidity and mortality. The mechanism of immunosuppression is unknown and attempts to explain it are contradictory. The contradictions can be resolved by assuming the activation by injury of the suppressor T-cell system, which is involved in normal immunoregulation. If this is true, then generalised, non-specific attempts to bolster the immune response in these patients may be inappropriate.
严重的免疫抑制发生在大面积热烧伤、意外伤害和广泛的外科手术后,可能在很大程度上导致患者发病和死亡。免疫抑制的机制尚不清楚,对此的解释相互矛盾。这些矛盾可以通过假设损伤激活了参与正常免疫调节的抑制性T细胞系统来解决。如果这是真的,那么在这些患者中普遍、非特异性地增强免疫反应的尝试可能并不合适。