Respuesta inmunitaria en el trauma

during past decades, trauma has been the major cause of death in persons aged under 45. as an expression of advance of researches in the field of traumatology, nowadays there is more interest in the analysis and comprehension of immunologic processes with repercussion in course and confrontation of organism to injuries, determining the final prognosis of these patients influencing inexorably in the appearance of complications, mainly of infectious type, as major causes of the so called late deaths due to trauma. the characteristic and the main elements conforming the immune system, the close relation among the different components of the called psycho-neuro-immune-endocrine integration system and its function in face of stress, as well as the immune dysfunction after a severe damage are evidenced to deepen in the study of phenomena characterizing the immune alterations after a trauma. thus, authors carried out a revision from the printed reference indexes, journals and national and international updated texts on this subject. we conclude that traumata lead to immunosuppression and hyperactivation, thus the immunomodulation must to includes not only the restoration of depressed immune responses, but also the regulation of exaggerated immune responses when it is necessary.