J.Jpn. Surg. Soc.. 54(10): 916-924, 1954

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Original article

STUDIES ON THE METABOLIC EXCHANGE OF WATER AND ELECTROLYTES IN THE SURGICAL PATIENTS
Part 3: PROTEIN AND METABOLISM OF WATER AND ELECTROLYTES

In our previous works, metabolic exchange of water and electrolytes in surgical patients was discussed. We will describe in this report about the further observations studied on sixty major surgical patients, and among those, the relation between those metabolism and the body protein. The body weight decreased gradually in the postoperative patients treated by the traditional fluid therapy, because of the dehydration and coloric deficit. When the moderate amount of protein and the sufficient water were given to those patients the decreasing grade of the body weight was much less and was found the body weight in parallel with the water content of those patients. Generally the utility rate of glucose, protein, etc. administrated in the immediate postoperative period was solow that much attention was necessary by those infusions. We have discussed about these factors. The metabolic exchange of water and electrolytes in the postoperative patients, as already shown by us, was pathological especially in those who were undertaken major operations and in state of dehydration or hypoproteinernia. When the amount of protein was given to those, these metabolic exchanges have become far more stabilized, and so the postoperative course was more uneventful. This finding between total body protein and the metabolism of water and electrolytes in the postoperative patients is believed noticeable.
(author's abstract)

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