J.Jpn. Surg. Soc.. 53(12): 990-996, 1953
Original article
STUDIES ON THE METABOLIC EXCHANGE OF ELECTROLYTES, SODIUM, CHLORIDE AND POTASSIUM IN THE SURGICAL PATIENTS.
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From the surgical Depart. of Sagamihara, National Hospital Juro MIYAKE |
Twenty cases of the minor surgical patients such as appencicitis and coecum-mobile were studied on the metabolic exchange of the electrolytes during pre-and postoperativa periods.
These were treated for postoperative few days without any oral feeding, but with the intravenous dripinfusion of 1000cc fluids such as Ringer's solution, dextrose solution or protein hydrolysate. In the cases that were not able to take any oral feeding or parenteral fluid, the postoperative hemoconcentration was apparent, the dehydration developed, postoperative three days cumlative water balance showed one liter negative, and also the cumulative salt balance five grams negative. But these recovered after seven days with the oral feeding.
The cases given 10% glucose solution parenterally 1.0 liter daily showed not only the postoperative dehydration by the diuretic action of glucose but also the apparent salt depletion.
Those given Ringer's solution showed the salt retention and the increase of potassium output in the urine. In those given 400cc, Ringer's solution, 400cc 10% glucose solution and 200cc 5% protein hydrolysate (Polytamin), the postoperative three days cumulative water balance was 500cc positive, the salt balance was 0.2 grams negative, the variation of serum sodium, chloride and potassium concentration was the least, and the urine volume and specific gravity in normal range, so that this mixed solution was considered the best for parenteral fluid among these. But it is noticeable that daily 1.0 liter fluid was not sufficient for the proper water balance.
(author's abstract)
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