J.Jpn. Surg. Soc.. 56(3): 294-304, 1955

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CLINICAL AND EXPERIMENTAL STUDIES UPON THE FLUIDTHERAPY IN THE SURGICAL PATIENTS
PART 2: STUDIES ON THE BODY FLUID ALTERATION IN THE SURGICAL PATIENTS, ESPECIALLY IN THE CASES OF THE INTESTINAL OBSTRUCTION

In this part, have been described some new findings about the cases of intestinal obstruction or stenosis, that are important in surgery, when not only considered from the metabolic exchange of waser and electrolytes, but also compared with the treatment of other surgical patients.
The results are as follows.
It is noticeable that the water and salt deficiency developed so rapidly in the cases of acute intestinal obstruction, that the treatment for the purpose of prevention of shock must be at first realized. In these patients, have been found that the concentration of blood has increased, that of serum electrolytes reduced, and also the albumin globulin ratio decreased.
It must be also noticed, that the volume of water and elctrolytes lost into the expansive intestine, or into the peritoneal cavity has been calculated so much dosis, compared with other surgical sickness. The volume estimated by the author will be believed of great value as the indication for the care of those patients.
Even if the case was of emergence, the preoperative correction of the body fluid and electrolytes was neccesary, resulting from the consideration of postoperative safe cource. The author has stated about its outline. Serum potassium level and its output must be noticed as the indication of medical treatment, especially for the intestinal obstruction.
The effect of antibiotics, e.g., Penicillin, Streptomycin, to such patients as peritonitis developed from intestinal obstruction, has been apparent, because of the prevention of peritoneal exsudation.
The author has discussed clinically and experimentally the adequate fluid therapy to those poor risk patients.
(author's abstract)

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