Acceso usuarios
María Soledad Alonso, Jaime Arias Pérez, María Angeles Aller Reyero, Laudino López Álvarez, Guillermo Rodríguez Fabián, Jorge Luis Arias Pérez, Laureano Lorente Ruigómez, Azucena Begega Losa, Hipólito José Durán Giménez-Rico
Mechanical energy is an etiological factor of traumatisms which, in the human being, can produce a local pathology as well as localized systemic acute inflammation as in the case of polytraumatized patients. Acute local inflammation is a process that occurs with vasoconstriction, vasodilatation, exudation, cellular infiltration, coagulation, fibrinolysis and proliferation. These phases of the inflammation can be expressed by the endothelium, although they make up part of a localizing and successive response of the nervous, immune and endocrine systems. In the polytraumatized patients, the ischemia-revascularization, the systemic inflammatory response syndrome, the disseminated intravascular coagulation and the anabolism of the convalescence period would in turn represent the consecutive systemic expression of the nervous, immune and endocrine systems. If injury by mechanic energy produces a consecutive response of the nervous, immune and endocrine systems in the human being, it could be considered that these systems represent the successive expression of functions such as motility, digestion and proliferation which, in turn, are common components of other vital cycles existing in nature. Essentially, the final function that each system successively expresses would be a type of response that has persisted in physiological and pathological situations due to its adaptive effectivity, in this special case, to the mechanical energy.
