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The cascade systems in posttraumatic pulmonary insufficiency.

The cascade systems - the coagulation, fibrinolytic, kallikrein-kinin and complement systems - are all activated after trauma. These systems are involved in the post-traumatic pulmonary reaction. The complexity with which all the systems are intimately related is stressed. The specific role of the different systems in the development of post-traumatic pulmonary insufficiency remains to be evaluated.