原创力文档reduction of plasma gelsolin levels correlates with development of multiple organ dysfunction syndrome and fatal outcome in burn patients降低血浆gelsolin水平与发展的多器官功能障碍综合征和致命烧伤患者的结果.pdfVIP
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reduction of plasma gelsolin levels correlates with development of multiple organ dysfunction syndrome and fatal outcome in burn patients降低血浆gelsolin水平与发展的多器官功能障碍综合征和致命烧伤患者的结果
Reduction of Plasma Gelsolin Levels Correlates with
Development of Multiple Organ Dysfunction Syndrome
and Fatal Outcome in Burn Patients
1 1 2 1 3 1 1
Li-feng Huang , Yong-ming Yao *, Jin-feng Li , Ning Dong , Chen Liu , Yan Yu , Li-xin He , Zhi-yong
Sheng1
1 Department of Microbiology and Immunology, Burns Institute, First Hospital Affiliated to the Chinese PLA General Hospital, Beijing, People’s Republic of China,
2 Department of Obstertrics and Gynecology, Beijing Chaoyang Hospital Affiliated to Capital Medical University, Beijing, People’s Republic of China, 3 11th Student Team,
Undergraduate Medical School, Fourth Military University, Xi’an, Shanxi, People’s Republic of China
Abstract
Background: Depletion of the circulating actin-binding protein, plasma gelsolin (pGSN) has been described in critically ill
surgical patients. We hypothesized that the extent of pGSN reduction might correlate with different outcome of burn
patients. The study was performed to evaluate the prognostic implications of pGSN levels on the development of multiple
organ dysfunction syndrome (MODS) and fatal outcome in a group of severely burn patients.
Methods and Findings: 95 patients were included, and they were divided into three groups with different burn area: group
I (n = 33), group II (n = 32) and group III (n = 30). According to whether there was development of MODS or not, patients
were divided into MODS group (n = 28) and none-MODS group (n = 67); then the patients with MODS were further divided
into non-survivor group (n = 17) and survivor group (n = 11). The peripheral blood samples were collected on postburn days
(PBD) 1, 3, 7, 14, and 21. The levels of pGSN were determined and T cells were procured from the blood. The contents of
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