Immunologic responses to critical injury and sepsis.

Immunologic responses to critical injury and sepsis.
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DOI:
10.1177/0885066605284330
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发表时间:
2006-05-01
影响因子:
3.1
通讯作者:
Shankar, Ravi
Shankar, Ravi
中科院分区:
医学3区
文献类型:
--
作者:
Smith, Jason W;Gamelli, Richard L;Shankar, Ravi

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Almost 2 million patients are admitted to hospitals in the United States each year for treatment of traumatic injuries, and these patients are at increased risk of late infections and complications of systemic inflammation as a result of injury. Host response to injury involves a general activation of multiple systems in defending the organism from hemorrhagic or infectious death. Clinicians have the capability to support the critically injured through their traumatic insult with surgery and improved critical care, but the inflammatory response generated by such injuries creates new challenges in the management of these patients. It has long been known that local tissue injury induces systemic changes in the traumatized patient that are often maladaptive. This article reviews the effects of injury on the function of immune system cells and highlights some of the clinical sequelae of this deranged inflammatory-immune interaction.