ANERGY AND THE SEVERELY ILL SURGICAL PATIENT

Australian and New Zealand Journal of Surgery - Tập 56 Số 2 - Trang 117-120 - 1986
John Fletcher1,2, J. M. Little1,3, Peter J. Walker1,4
1*Department of Surgery, University of Sydney and Westmead Hospital, Westmead, NSW
2FRACS. FRCS (Eng), Senior Lecturer in Surgery
3MD. MS, FRACS. Professor of Surgery
4Surgical Resident

Tóm tắt

Delayed hypersensitivity skin test reaction was evaluated using Multitest CMI, an implement which provides seven standardized antigens in a single application. Eighty‐two patients requiring Total Parenteral Nutrition for a variety of conditions were studied. The incidence of anergy was 65%. Seven anergic patients died, but there were no deaths in the reactive group, this difference being significant (P= 0.04). There was a significant association of anergy with carcinoma (P= 0.007) and anergic patients with carcinoma had a significantly greater risk of dying than reactive patients without carcinoma (P= 0.038). Anergic patients also had significantly lower nutritional parameters of serum albumin (P= 0.04), transferrin (P < 0.001), absolute lymphocyte count (P= 0.009) and mid‐arm muscle circumference (P= 0.02) compared to the reactive group.

Từ khóa


Tài liệu tham khảo

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Thông tin
Thông tin xuất bản

Australian and New Zealand Journal of Surgery

Tập 56 Số 2

117-120

Thông tin tác giả