Dynamic Changes in the Immune Status and Biochemical Blood Markers in Patients after Cardiac Surgery with Cardiopulmonary Bypass

M. S. Solovyova, V. M. Zemskov, M. N. Kozlova, N. S. Shishkina, A. V. Balbutskiy, A. N. Kulikova, V. S. Demidova, A. M. Zemskov, V. A. Popov, G. P. Plotnikov, A. V. Sharanda
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Abstract

A general nonspecific adaptive reaction, stress developing during the sequential implementation of the stages “anxiety,” “resistance,” and “resolution,” is considered in a limited cohort of patients who died and survived after cardiac surgery with cardiopulmonary bypass. Immune markers of the stress reaction and its ambiguous changes in patients died and discharged from the clinic with improved health are considered. Interesting innovations for changing the condition of patients are found; they can be used for assessing and predicting the outcome of cardiac surgery, as well as for substantiating immunomodulatory therapy in alternative clinical and immunological changes in the state of health.

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心肺旁路心脏手术后患者免疫状态和血液生化指标的动态变化
摘要 在心肺旁路心脏手术后死亡和存活的有限一组患者中研究了一般非特异性适应反应,即在 "焦虑"、"抵抗 "和 "解决 "等阶段依次实施过程中产生的应激反应。研究还考虑了应激反应的免疫标志物及其在死亡和出院后健康状况有所改善的患者中的模糊变化。发现了改变病人状况的有趣创新;这些创新可用于评估和预测心脏手术的结果,以及证实免疫调节疗法对健康状况的替代性临床和免疫学变化。
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