Angela G C, Tosco A, Giannone R, Magliacani G, Raiteri E
Arch Sci Med (Torino). 1981 Jan-Mar;138(1):63-92.
The behaviour of three complement components (C3, C4 and C3 activator), alpha 1, alpha 2, IgA, IgG, IgM, total proteins, and gamma globulins was followed 114 patients at the C.T.O. Turin, Burns Centre with burns covering from 15% to over 70% of the body surface. Forty-two died within a relatively short time. In the remaining 72, the parameters were studied almost daily for over 30 days, or even until a final cure was obtained. The complement data and, more particularly, the distinct increased in alpha-globulins made it clear that burns can be acute inflammations. In addition, initial immune depression is followed by a prompt response of the complement system (responsible for aspecific immunity). That this change is vital in the progress of the disease may be deduced from the fact that complement component levels were constantly below normal in the patients who died.
在都灵烧伤中心对114例烧伤患者进行了观察,这些患者的烧伤面积占体表的15%至70%以上。研究了三种补体成分(C3、C4和C3激活剂)、α1、α2、IgA、IgG、IgM、总蛋白和γ球蛋白的变化情况。其中42例在较短时间内死亡。在其余72例患者中,对这些参数进行了为期30多天的几乎每日监测,甚至直至最终治愈。补体数据,尤其是α球蛋白的明显增加表明烧伤属于急性炎症。此外,初始免疫抑制之后补体系统(负责非特异性免疫)会迅速作出反应。从死亡患者的补体成分水平持续低于正常这一事实可以推断,这种变化对疾病进展至关重要。