Ausobsky J R, Bean P, Proctor J, Pollock A V
Br J Surg. 1982 Jun;69(6):346-8. doi: 10.1002/bjs.1800690619.
One hundred and sixty-six patients undergoing elective major laparotomy were skin tested preoperatively with four common recall antigens in an attempt to correlate preoperative cell-mediated immune status with postoperative septic complications. Nineteen patients were anergic, 22 relatively anergic and the remaining 125 reacted to two or more of the antigens and were regarded as normally reactive. No significant differences in morbidity or mortality were found between patients who had depressed delayed cutaneous hypersensitivity reactions and those who reacted normally. We conclude that identification of those patients with depressed cell-mediated immunity preoperatively does not help in predicting postoperative problems.
166例择期行大剖腹手术的患者在术前用四种常见的回忆抗原进行皮肤试验，试图将术前细胞介导的免疫状态与术后脓毒症并发症相关联。19例患者无反应，22例相对无反应，其余125例对两种或更多种抗原产生反应，被视为反应正常。皮肤迟发型超敏反应降低的患者与反应正常的患者在发病率或死亡率方面未发现显著差异。我们得出结论，术前识别细胞介导免疫功能降低的患者无助于预测术后问题。
