Metabolic changes in patients severely affected by tetanus.

Abstract:

:Metabolic changes in six severely affected tetanus patients suffering from characteristic labile hypertension (maximum systolic blood pressure greater than 200 mmHG, maximum diurnal change in systolic pressure greater than 100 mmHg) were investigated. Daily urinary excretion of urea nitrogen increased gradually from the onset of opisthotonus, reached a peak value (10.4 to 15.4 g/m2) in 8 to 20 days, and decreased subsequently. Average cumulative excretion in 30 days reached 239.6 +/- 32.7 g/m2. Urine catecholamine excretion was elevated in each patient and remained elevated during this period. Plasma cortisol and glucagon concentrations were not increased markedly except in a case complicated other systemic bacterial infection. Increased protein catabolism in these patients could not be explained by the metabolic effects of 'stressed hormones' alone, and neurologic factors must be considered.

journal_name

Ann Surg

journal_title

Annals of surgery

authors

Hiraide A,Katayama M,Sugimoto H,Yoshioka T,Sugimoto T

doi

10.1097/00000658-199101000-00011

subject

Has Abstract

pub_date

1991-01-01 00:00:00

pages

66-9

issue

1

eissn

0003-4932

issn

1528-1140

journal_volume

213

pub_type

杂志文章
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    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0b013e3181d355f7

    authors: Cima RR,Hassan I,Poola VP,Larson DW,Dozois EJ,Larson DR,O'Byrne MM,Huebner M

    更新日期:2010-04-01 00:00:00

  • Smaller Inguinal Hernias are Independent Risk Factors for Developing Chronic Postoperative Inguinal Pain (CPIP): A Registry-based Multivariable Analysis of 57, 999 Patients.

    abstract:OBJECTIVE:Impact of inguinal hernia defect size as stratified by the European Hernia Society (EHS) classification I to III on the rate of chronic postoperative inguinal pain (CPIP). BACKGROUND:CPIP is the most important complication after inguinal hernia repair. The impact of hernia defect size according to the EHS cl...

    journal_title:Annals of surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1097/SLA.0000000000003065

    authors: Hoffmann H,Walther D,Bittner R,Köckerling F,Adolf D,Kirchhoff P

    更新日期:2020-04-01 00:00:00

  • Enhancement of gene therapy specificity for diffuse colon carcinoma liver metastases with recombinant herpes simplex virus.

    abstract:OBJECTIVE:The authors determined whether a recombinant herpes simplex virus (HSV) vector could destroy human colon carcinoma cells in vitro and whether the vector would selectively replicate in colon carcinoma liver metastases but not surrounding hepatocytes in vivo. BACKGROUND:The HSV vector hrR3 is defective in the ...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-199609000-00008

    authors: Carroll NM,Chiocca EA,Takahashi K,Tanabe KK

    更新日期:1996-09-01 00:00:00

  • K-ras oncogene mutations indicate malignancy in cystic tumors of the pancreas.

    abstract:OBJECTIVE:To evaluate clinical parameters, presurgical diagnostic tests, histologic findings, and the presence of K-ras oncogene mutations in cystic tumors of the pancreas to determine which best predict malignancy. SUMMARY BACKGROUND DATA:Because presurgical, intraoperative, and final pathologic differentiation is di...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-199807000-00012

    authors: Bartsch D,Bastian D,Barth P,Schudy A,Nies C,Kisker O,Wagner HJ,Rothmund M

    更新日期:1998-07-01 00:00:00

  • Splenic injury during resection for esophageal cancer: risk factors and consequences.

    abstract:OBJECTIVE:Esophageal cancer surgery carries a risk of splenic injury, which may require splenectomy, but predictors of such events remain uncertain. Moreover, the hypothesis that incidental splenectomy carries a worse prognosis deserves attention. DESIGN:A population-based, nationwide cohort study was conducted on 167...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0000000000000650

    authors: Derogar M,Sadr-Azodi O,Lagergren P,Lagergren J

    更新日期:2015-01-01 00:00:00

  • The preoperative and intraoperative hemodynamic predictors of postoperative myocardial infarction or ischemia in patients undergoing noncardiac surgery.

    abstract::Among hypertensive and diabetic patients undergoing elective noncardiac surgery, preoperative status and intraoperative changes in mean arterial pressure (MAP) were evaluated as predictors of postoperative ischemic complications. Of 254 patients evaluated before operation and monitored during operation, 30 (12%) had p...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-198911000-00012

    authors: Charlson ME,MacKenzie CR,Gold JP,Ales KL,Topkins M,Fairclough GP Jr,Shires GT

    更新日期:1989-11-01 00:00:00

  • Surgery for post-myocardial infarct ventricular septal defect.

    abstract::Forty-three patients (mean age 62 +/- 1 years) were treated for ventricular septal defect (VSD) secondary to myocardial infarction. Whenever possible, operation was postponed until six weeks post-onset chest pain. However, hemodynamic instability, evidenced by cardiogenic shock, refractory pulmonary edema, or a rising...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-197709000-00004

    authors: Daggett WM,Guyton RA,Mundth ED,Buckley MJ,McEnany MT,Gold HK,Leinbach RC,Austen WG

    更新日期:1977-09-01 00:00:00

  • Reconsideration of postoperative oral intake tolerance after pancreaticoduodenectomy: prospective consecutive analysis of delayed gastric emptying according to the ISGPS definition and the amount of dietary intake.

    abstract:OBJECTIVE:A prospective consecutive study was planned to evaluate the postpancreaticoduodenectomy (PD) oral intake tolerance. The occurrence of delayed gastric emptying (DGE), as defined by the International Study Group of Pancreatic Surgery (ISGPS), and the amount of dietary intake were analyzed. The risk factors for ...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0b013e3181a63c4c

    authors: Akizuki E,Kimura Y,Nobuoka T,Imamura M,Nagayama M,Sonoda T,Hirata K

    更新日期:2009-06-01 00:00:00

  • Hospital Length of Stay Reduction Over Time and Patient Readmission for Severe Adverse Events Following Surgery.

    abstract:OBJECTIVE:The aim of the study was to investigate whether patients who undergo surgery in hospitals experiencing significant length of stay (LOS) reductions over time are exposed to a higher risk of severe adverse events in the postoperative period. SUMMARY BACKGROUND DATA:Surgical care innovation has encouraged hospi...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0000000000003206

    authors: Pascal L,Polazzi S,Piriou V,Cotte E,Wegrzyn J,Carty MJ,Chollet F,Sanchez S,Lifante JC,Duclos A

    更新日期:2020-07-01 00:00:00

  • Risk factors for prolonged length of stay after major elective surgery.

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    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-199908000-00016

    authors: Collins TC,Daley J,Henderson WH,Khuri SF

    更新日期:1999-08-01 00:00:00

  • Surgical versus medical treatment of type 2 diabetes mellitus in nonseverely obese patients: a systematic review and meta-analysis.

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    journal_title:Annals of surgery

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/SLA.0000000000001014

    authors: Müller-Stich BP,Senft JD,Warschkow R,Kenngott HG,Billeter AT,Vit G,Helfert S,Diener MK,Fischer L,Büchler MW,Nawroth PP

    更新日期:2015-03-01 00:00:00

  • Editorial (Spring) Board? Gender Composition in High-impact General Surgery Journals Over 20 Years.

    abstract:OBJECTIVE:To quantify gender composition of 10 high-impact general surgery journals, delineate how board composition has changed over time, and evaluate qualification metrics by gender. BACKGROUND:Underrepresentation of women on editorial boards may contribute to the gender-based achievement gap in surgery. METHODS:W...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0000000000002667

    authors: Harris CA,Banerjee T,Cramer M,Manz S,Ward ST,Dimick J,Telem DA

    更新日期:2019-03-01 00:00:00

  • Biostatistical basis of elective node dissection for malignant melanoma.

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    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-197707000-00014

    authors: Fortner JG,Woodruff J,Schottenfeld D,Maclean B

    更新日期:1977-07-01 00:00:00

  • Optimization of staging of the neck with prophylactic central and lateral neck dissection for papillary thyroid carcinoma.

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    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0b013e31824b7b68

    authors: Hartl DM,Leboulleux S,Al Ghuzlan A,Baudin E,Chami L,Schlumberger M,Travagli JP

    更新日期:2012-04-01 00:00:00

  • Multiple systems organ failure. Modulation of hepatocyte protein synthesis by endotoxin activated Kupffer cells.

    abstract::The etiology of hepatic insufficiency associated with the multiple systems organ failure (MSOF) syndrome is unclear. The authors have investigated the possibility that a macrophage/Kupffer cell mediated modulation of hepatocyte function may play a role in this phenomenon. Isolated rat hepatocytes were cultured, and th...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:

    authors: Keller GA,West MA,Cerra FB,Simmons RL

    更新日期:1985-01-01 00:00:00

  • Surgical Techniques and Long-term Outcomes of Living-donor Liver Transplantation With Inferior Vena Cava Replacement Using Atriocaval Synthetic Interposition Graft for Budd-Chiari Syndrome.

    abstract:OBJECTIVE:We aimed to describe our living-donor liver transplantation (LDLT) surgical technique and its long-term patency for patients with Budd-Chiari syndrome (BCS) and retrohepatic inferior vena cava (IVC) obstruction that extends up to the atrium. BACKGROUND:From a technical perspective, LDLT for BCS with an IVC o...

    journal_title:Annals of surgery

    pub_type: 信件

    doi:10.1097/SLA.0000000000002847

    authors: Yoon YI,Lee SG,Moon DB,Ahn CS,Hwang S,Kim KH,Ha TY,Song GW,Jung DH,Park GC,Kim DS,Choo SJ

    更新日期:2019-04-01 00:00:00

  • Registration rates, adequacy of registration, and a comparison of registered and published primary outcomes in randomized controlled trials published in surgery journals.

    abstract:OBJECTIVE:To determine the proportion of registered trials published in the surgical literature, to compare, in registered trials, the primary outcomes registered with those published and to determine whether outcome-reporting bias favored significant primary outcomes. BACKGROUND:Trial protocol registration before pat...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0b013e318299d00b

    authors: Killeen S,Sourallous P,Hunter IA,Hartley JE,Grady HL

    更新日期:2014-01-01 00:00:00

  • Colon and rectal surgery without mechanical bowel preparation: a randomized prospective trial.

    abstract:OBJECTIVE:To assess whether elective colon and rectal surgery can be safely performed without preoperative mechanical bowel preparation. SUMMARY BACKGROUND DATA:Mechanical bowel preparation is routinely done before colon and rectal surgery, aimed at reducing the risk of postoperative infectious complications. However,...

    journal_title:Annals of surgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/01.SLA.0000055222.90581.59

    authors: Zmora O,Mahajna A,Bar-Zakai B,Rosin D,Hershko D,Shabtai M,Krausz MM,Ayalon A

    更新日期:2003-03-01 00:00:00

  • Prognostic significance of DNA replication errors in young patients with colorectal cancer.

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    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-199801000-00008

    authors: Lukish JR,Muro K,DeNobile J,Katz R,Williams J,Cruess DF,Drucker W,Kirsch I,Hamilton SR

    更新日期:1998-01-01 00:00:00

  • Survival outcome of local excision versus radical resection of colon or rectal carcinoma: a Surveillance, Epidemiology, and End Results (SEER) population-based study.

    abstract:OBJECTIVE:To compare cancer-specific results of local excision with major resection. BACKGROUND:Technological advances have enabled endoscopic and local excision techniques to be applied in the treatment of early colorectal cancer in preference to radical surgery. METHOD:Patients with stage 0 (carcinoma in situ) or s...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0b013e3182a4e85a

    authors: Bhangu A,Brown G,Nicholls RJ,Wong J,Darzi A,Tekkis P

    更新日期:2013-10-01 00:00:00

  • Proximal splenorenal shunts for extrahepatic portal venous obstruction in children.

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    journal_title:Annals of surgery

    pub_type: 杂志文章

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    authors: Prasad AS,Gupta S,Kohli V,Pande GK,Sahni P,Nundy S

    更新日期:1994-02-01 00:00:00

  • TransCarotid Revascularization with Dynamic Flow reversal versus Carotid Endarterectomy in the Vascular Quality Initiative Surveillance Project.

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    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0000000000004496

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    更新日期:2020-09-15 00:00:00

  • Incidence and outcome of biliary strictures after pancreaticoduodenectomy.

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    pub_type: 杂志文章

    doi:10.1097/01.sla.0000216285.07069.fc

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    更新日期:2006-05-01 00:00:00

  • Single-incision Laparoscopic Appendectomy Versus Conventional Laparoscopic Appendectomy: Experiences From 1208 Cases of Single-incision Laparoscopic Appendectomy. Experiences From 1208 Cases of Single-incision Laparoscopic Appendectomy.

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    pub_type: 杂志文章

    doi:10.1097/SLA.0000000000001064

    authors: Kim JH,Kim HY,Park SK,Lee JS,Heo DS,Park SW,Lee YS

    更新日期:2015-12-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1097/00000658-199605000-00005

    authors: Rutledge R,Oller DW,Meyer AA,Johnson GJ Jr

    更新日期:1996-05-01 00:00:00

  • Assessing risk in liver transplantation. Special reference to the significance of a positive cytotoxic crossmatch.

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    更新日期:2005-02-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1097/00000658-197812000-00003

    authors: Ottinger LW

    更新日期:1978-12-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1097/SLA.0b013e3181d3d27c

    authors: Greenblatt DY,Weber SM,O'Connor ES,LoConte NK,Liou JI,Smith MA

    更新日期:2010-04-01 00:00:00

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    authors: Lidsky ME,Sun Z,Nussbaum DP,Adam MA,Speicher PJ,Blazer DG 3rd

    更新日期:2017-08-01 00:00:00