J.Jpn. Surg. Soc.. 56(4): 413-432, 1955
STUDIES ON THE CHLORIDE, SODIUM AND WATER METABOLISM IN THE SURGICAL PATIENTS WITH PULMONARY TUBERCULOSIS
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I. Surgical Department, Tokyo University School of Medicine (Director Prof. K. Shimizu) Susumu AKAHOSHI |
1) During a few days after operation of pulmonary tuberculous patients excretion of chloride, sodium and water in urine is decreased, and the most part of fluid and salt are retained in extracellular space. From the fourth postoperative day excretion of chloride, sodium and water in urine is increased gradually and 2 weeks after it returns nearly to the same volume as preoperative level, but extracellular fluid volume still remains increased a little 2 weeks postoperatively.
2) The volume of fluid and salt retained in body after the first stage operation of thoracoplasty is more than that after the second stage operation of thoracoplasty, and the former is decreased more slowly than the latter.
3) In segmental pulmonary resection a marked significant difference is recognized between patients whose remained lung expands sufficiently and patients whose remained lung expands insufficiently. The retention of fluid and salt in body during 3 days postoperatively is more in the latter than in the former. In the former the fluid and salt retained in body after operation are decreased smoothly and at 2 weeks postoperatively return nearly to the same volume as preoperative level, but in the latter they are decreased slowly and retain considerably in body still 2 weeks postoperatively.
4) The volume of fluid and salt retained in body after lobectomy is more than that after segmental resection, and it is decreased more slowly than that after segmental resection.
5) In other surgical patients with pulmonary tuberculosis the volume of fluid and salt retained in body after operations is much and is descreased slowly, when the dead space of operative wound is voluminous and remains for a long time after operation.
6) The volume of fluid and salt retained in body after pulmonary resection is more than that after thoracoplasty, and is decreased more slowly than that after thoracoplasty.
7) The volume of fluid and salt in body after gastrectomy and other major general surgical operations is less than that after the surgical oprations for pulmonary tuberculosis, but it is decreased more slowly than that after the latter.
8) After appendectomy and other minor surgical operations extracellular fluid volume tends to decrease and returns to the same volume as preoperative level more rapidly than that after the surgical oprations for pulmonary tuberculosis.
(author's abstract)
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