THE SIGNIFICANCE OF CHANGES IN SERUM TUMOR-NECROSIS-FACTOR (TNF) ACTIVITY IN SEVERELY BURNED PATIENTS

被引:25
作者
LIU, XS
LUO, ZH
YANG, ZC
HUANG, WH
LI, AN
机构
[1] Institute of Burn Research, Southwestern Hospital, The Third Military Medical College, Chongqing, Sichuan
关键词
D O I
10.1016/0305-4179(94)90104-X
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
In order to explain the pathogenesis of postburn internal organ injury (OI) and multiple organ failure (MOF), serum TNF activity was measured by biological assay in 24 severely burned patients. Parameters related to internal organ functions were simultaneously measured, The results showed an obvious increase in serum TNF activity accompanied by increased serum myocardial and hepatic enzymes, plasma lactate and aggregations of WBC in internal organ tissues. Serum protein levels decreased substantially. These changes were more marked in patients suffering from both OI and MOF. It is suggested that large amounts of TNF are produced postburn and might have an important role in the development of OI and MOF
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页码:40 / 44
页数:5
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共 15 条
[1]  
Lee, Vilcek, Tumor necrosis factor and interleukin-1: cytokines with multiple overlapping biological activities, Lab Invest, 56, (1987)
[2]  
Hyers, Gee, Andreadis, Cellular interactions in the multiple organ injury syndrom, Am Rev Resp Dis, 135, (1987)
[3]  
Tracey, Beutler, Lowry, Et al., Shock and tissue injury induced by recombinant human cachectin, Science, 234, (1986)
[4]  
Goldblum, Jay, Yoneda, Et al., Monokine induced acute lung injury in rabbits, J. Appl Physiol, 63, (1987)
[5]  
Marano, Moldawer, Fong, Et al., Cachectin/TNF production in experimental bums and pseudomonas infection, Arch Surg, 123, (1988)
[6]  
Marano, Fong, Moldawer, Et al., Serum cachectin/ tumor necrosis factor in critically ill patients with bums correlates with infection and mortality, Surg. Gynecol Obstet, 170, (1990)
[7]  
Yang, Zhuo-dao, Yue-sheng, Clinical study of the pathogenesis of multiple organ failure after bums, Chin J Plast Surg Burns, 8, (1992)
[8]  
Flick, Gifford, Comparison of in vitro cell cytotoxic assays for tumor necrosis factor, J. Immunol Methods, 68, (1984)
[9]  
Fong, Lowry, Tumor necrosis factor in the pathophysiology of infection and sepsis, Clin Immunol Immunopathol, 55, (1990)
[10]  
Semenzato, Tumor necrosis factor: a cytokine with multiple biological activities, Br J Cancer, 61, (1990)