Guarducci A M, Langer M, Solca M, Radrizzani D, Carnevale-Maffè A
Minerva Anestesiol. 1981 Aug;47(8):471-3.
Humoral immunity (immunoglobulins and C3) as well as nutritional conditions (serum albumin, transferrin) have been investigated in 23 patients in the acute phase after surgery and/or trauma. Immunoglobulin deficiency, well correlated with the severity of trauma, was observed in the most critically ill patients in the very early phase, followed by a rapid rise to near to normal values and typical immunologic response. There is no evidence that this depression of humoral immunity may enhance the risk of infectious complications in the postoperative period. Very different immunological patterns were observed in surgical patients with chronic sepsis.
对23例术后和/或创伤急性期患者的体液免疫(免疫球蛋白和C3)以及营养状况(血清白蛋白、转铁蛋白)进行了研究。在极早期,最危重的患者中观察到免疫球蛋白缺乏,这与创伤严重程度密切相关,随后迅速上升至接近正常水平,并出现典型的免疫反应。没有证据表明这种体液免疫抑制会增加术后感染并发症的风险。在患有慢性脓毒症的外科患者中观察到非常不同的免疫模式。