Immunoparalysis in patients with severe trauma and the effect of inhaled interferon-γ

Immunoparalysis in patients with severe trauma and the effect of inhaled interferon-γ
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DOI:
10.1097/00003246-200207000-00015
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发表时间:
2002-07-01
影响因子:
8.8
通讯作者:
Lekka, ME
Lekka, ME
中科院分区:
医学1区
文献类型:
--
作者:
Nakos, G;Malamou-Mitsi, VD;Lekka, ME

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目的:评价严重创伤患者的局部免疫状态以及干扰素-γ对免疫麻痹患者的影响。患者:52例严重多发伤机械通气患者。设置:14床多价重症监护病房。干预措施:通过检查支气管肺泡灌洗液评价局部免疫状态。随后,患者被分为两组:免疫麻痹(组1)和非免疫麻痹(组2)。免疫麻痹定义为肺泡巨噬细胞人类白细胞抗原-DR表达水平降低,
Objective: To evaluate the local immune status in patients with severe trauma and the influence of interferon-gamma on patients with immunoparalysis.Patients: Fifty-two mechanically ventilated patients with severe multiple trauma.Setting: A 14-bed polyvalent intensive care unit.Interventions: The local immune status was evaluated by examining bronchoalveolar lavage fluid. Subsequently, the patients were divided into two groups: immunoparalyzed (group 1) and nonimmunoparalyzed (group 2). Immunoparalysis was defined as a decreased level of human leukocyte antigen-DR expression of alveolar macrophages in