caa a22 4500 47580144X CHVBK 20180406123738.0 cr unu---uuuuu 170329e20000601xx s 000 0 eng 10.1007/s002689910103 doi (NATIONALLICENCE)springer-10.1007/s002689910103 Hill Andrew G. Department of Surgery, Africa Inland Church Kijabe Hospital, PO Box 20, Kijabe, Kenya, Kenya aut Initiators and Propagators of the Metabolic Response to Injury [Elektronische Daten] [Andrew G. Hill] Abstract.: Injury produces tissue hypoperfusion and subsequent reperfusion, afferent neural activity, and immune and vascular endothelial activation. These, in turn, set up a cascade of events coordinated by the central nervous system and at the level of individual tissues such as the liver, gut, and skeletal muscle. They are mediated by a complex array of neutrophil and macrophage products. The changes result in hypermetabolism, lypolysis, lysis of skeletal muscle and visceral protein, and expanded extracellular fluid with consequent organ failure. 2000 by the Société Internationale de Chir, 2000 World Journal of Surgery Springer-Verlag 24/6(2000-06-01), 624-629 0364-2313 24:6<624 2000 24 268 https://doi.org/10.1007/s002689910103 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s002689910103 text/html Onlinezugriff via DOI NATIONALLICENCE 100 1- Hill Andrew G. Department of Surgery, Africa Inland Church Kijabe Hospital, PO Box 20, Kijabe, Kenya, Kenya aut NATIONALLICENCE 773 0- World Journal of Surgery Springer-Verlag 24/6(2000-06-01), 624-629 0364-2313 24:6<624 2000 24 268 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer