台灣外科醫學會雜誌

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	第58卷第1期 2025-1 Ensuring authorship qualification in clinical research articles: A focus on surgical therapy studies
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	第57卷第6期 2024-11 Emerging robot-guided techniques in endodontic microsurgery
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	第57卷第6期 2024-11 Management of subcapsular hematoma after living donor liver transplant
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	第57卷第6期 2024-11 Minimally invasive approaches to management of acute necrotizing pancreatitis
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	第57卷第6期 2024-11 Emergency surgery and HIV screening, clinical or universal scenarios?
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篇名	Sex different responses and immunomodulation in severe sepsis
作者	Tsann-Long Hwang
卷期/出版年月	46卷1期 (2013/2)
頁次	1-3
摘要	Different responses among the sexes have been reported following trauma and sepsis and have been reported in various articles, revealing that female patients had a better outcome than male patients. In addition, several animal and clinical studies have also demonstrated differences among the sexes in susceptibility to septic challenge. Sex steroids may contribute to the above differences regarding sexual dimorphism, and androgens have been found to have an immunosuppressive effect. Sexual dimorphism may be influenced by the effects of sex hormones and a different ratio of proinflammatory and anti-inflammatory cytokines in women than men. Enhanced immune response with an immune-enhancing diet for male rats was demonstrated to reduce their mortality in sepsis, which was less important for female rats unless their ovaries were removed. Immunonutrition was more beneficial for males than for females following sepsis, especially when combined with liver cirrhosis.
關鍵詞	different responses;estrogen;immune-enhancing diet;immunomodulation;sex difference
分類	Mini-Review