Abstract：
:One possible cause of pulmonary failure after trauma is the type of asanguinous fluid used for resuscitation, i.e., crystalloid or colloid. To investigate this issue, patients having a laparotomy for trauma randomly received either Ringer's lactate (RLS) alone or Ringer's lactate with albumin (ALB). Both groups received washed red cells. Test fluids and red cells were given before and during operation to restore vital signs and hematocrit to normal. Pulmonary function tests were performed for 5 days after operation. One hundred and forty-one cases were studied (84 RLS, 57 ALB). The volume of asanguinous resuscitation fluid infused was 5.37 +/- 3.38 liters (-x +/- SD) for RLS and 5.87 +/- 3.05 liters for ALB. ALB cases received 213 +/- 130 gm of albumin. Red cell transfusions were 1.5 +/- 2.9 units for RLS and 2.0 +/- 3.1 for ALB. Six patients died (three RLS, there ALB). Three RLS and six ALB patients received intermittent mandatory ventilation or continous positive air pressure after operation. Pulmonary function results were not significantly different between the two groups for any parameter on any day after operation. Results of a randomized trial in human subjects of resuscitation with crystalloid and colloid solutions for acute trauma requiring laparotomy did not reveal significant differences in (1) survival rate, (2) incidence of pulmonary failure, or (3) postoperative pulmonary function.
journal_name
Surgeryjournal_title
Surgeryauthors
Lowe RJ,Moss GS,Jilek J,Levine HDsubject
Has Abstractpub_date
1977-06-01 00:00:00pages
676-83issue
6eissn
0039-6060issn
1532-7361pii
0039-6060(77)90259-8journal_volume
81pub_type
临床试验,杂志文章,随机对照试验相关文献
SURGERY文献大全abstract：BACKGROUND:Hepatocellular carcinoma (HCC) is among the most common malignant neoplasms worldwide. Only few data on HCC in noncirrhotic livers without viral hepatitis in Western countries are available. The purpose of this study was to define the outcomes and potential prognostic factors associated with survival after h...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2012.09.015
更新日期：2013-04-01 00:00:00
abstract：BACKGROUND:Visceral artery aneurysms are an uncommon but important form of abdominal vascular disease. This study reviews a contemporary experience with special emphasis on newer methods of diagnosis and treatment. METHODS:From 1980 to 1994, 37 patients were diagnosed with 46 visceral artery aneurysms. These consisted...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/s0039-6060(96)80009-2
更新日期：1996-10-01 00:00:00
abstract：BACKGROUND:Because the adhesive glycoprotein von Willebrand Factor (vWF) mediates initial platelet attachment at sites of vascular injury and may also contribute to shear-dependent platelet thrombus formation, we have determined in vivo the relative antithrombotic efficacy and hemostatic safety of infusing murine monoc...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1992-08-01 00:00:00
abstract：BACKGROUND:p38-Alpha mitogen-activated protein kinase (p38-MAPK) is a tumor suppressor often mutated in human cancers, but its specific role in colorectal cancer is not completely understood. Previous studies have found that p38-MAPK activity inhibits epithelial proliferation and promotes apoptosis in the intestine. Th...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2012.05.009
更新日期：2012-08-01 00:00:00
abstract：BACKGROUND:Primary tissue failure is the most frequent indication for reoperation in patients with a mitral bioprosthetic valve (MBPV). Complete excision of the bioprosthesis is time-consuming and may be complicated by cardiac rupture at the atrioventricular junction or the posterior left ventricular wall where a strut...
journal_title：Surgery
pub_type： 杂志文章,评审
doi：10.1016/s0039-6060(05)80033-9
更新日期：1995-10-01 00:00:00
abstract：BACKGROUND:Plasma peptide YY (PYY) levels rise after a meal and have recently been shown to increase small bowel-absorption. The purpose of this study was to determine whether immunoneutralization of PYY would block postprandial absorption in vivo. METHODS:Exteriorized, neurovascularly intact jejunal and ileal segment...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1994-12-01 00:00:00
abstract：:The central venous dialysis catheter has gained wide acceptance for short-term hemodialysis with the realization of the need to spare peripheral extremity vessels for the creation of more durable internal arteriovenous fistulas. The Hemocath (Quinton Instrument Co., Seattle, Wash.), a soft, silicone rubber, double-lum...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1987-11-01 00:00:00
abstract：BACKGROUND:Pancreatectomy is associated with a high complication rate that varies between 40-60%. Although many specific complications have been extensively studied, postoperative pneumonia has received little attention. METHODS:Patients undergoing pancreaticoduodenectomy (n = 1,090) and distal pancreatectomy (n = 436...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2016.09.028
更新日期：2017-04-01 00:00:00
abstract：BACKGROUND:Despite nationwide campaigns to increase the use of helmets among pediatric cyclists, many children continue to be injured while riding without a helmet. To determine where programs and policies intended to promote helmet use should be directed, we surveyed a large national dataset to identify variables asso...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2015.02.025
更新日期：2015-08-01 00:00:00
abstract：INTRODUCTION:Rapid thrombelastography (rTEG) has been advocated as a point-of-care test to manage trauma-induced coagulopathy. rTEG activated clotting time (T-ACT) results become available much sooner than other rTEG values, thus offering an attractive tool to guide blood component transfusion in a hemorrhagic shock. W...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2014.04.017
更新日期：2014-09-01 00:00:00
abstract：:Hypertriglyceridemia commonly accompanies clinical sepsis and may be caused by increased hepatic production or decreased clearance of triglyceride from the bloodstream. In contrast, enhanced lipid clearing capacity is usually seen after uncomplicated trauma. The purpose of the study was to determine the role of lipopr...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1981-08-01 00:00:00
abstract：BACKGROUND:Publicly reported hospital scores are used by patients to make health care-related decisions; however, their relationship to clinical outcomes is unknown. METHODS:Through the use of the New York Statewide Planning and Research Cooperative System database, the association between two commonly used scores (He...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2018.12.006
更新日期：2019-05-01 00:00:00
abstract：BACKGROUND:In animal models of postoperative ileus (POI), inflammation of the intestine plays an important role in the pathogenesis of POI. Changes in alpha(2)-adrenoceptors and nitrergic regulation have been proposed to be implicated. The aim of our study was to investigate the presynaptic alpha(2)-receptor-mediated c...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2008.05.011
更新日期：2008-09-01 00:00:00
abstract：BACKGROUND:Outcomes of bariatric surgery in patients with a body mass index (BMI) <35 kg/m(2) have been an active area of investigation. We examined the comparative effectiveness of Roux-en-Y gastric bypass (RYGB) to routine medical management (nonsurgical controls; NSCs) in achieving appropriate targets defined by the...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2011.07.069
更新日期：2011-10-01 00:00:00
abstract：BACKGROUND:Ischemia-reperfusion injury of skeletal muscle is a common clinical and experimental problem. To date, there has been no uniform and reproducible method to assess the extent of histologic injury. In this study, we developed a novel statistical methodology for evaluating injury in individual myocytes and 3 di...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2007.06.005
更新日期：2008-01-01 00:00:00
abstract：:Dr McCarthy is a fellow in cardiothoracic surgery at the University of Washington. During his general surgery training at Northwestern University, he completed a research fellowship in surgical innovation and obtained masters' degrees with a focus on health enterprise management, entrepreneurship, and innovation. ...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2016.08.035
更新日期：2017-04-01 00:00:00
abstract：:Surgical education has been exposed to increasing challenges as students have moved from the highly structured environment of a university hospital into a variety of clinical settings within the community. Presented with a general surgical service that uses ten relatively autonomous teaching services in seven hospital...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1976-07-01 00:00:00
abstract：BACKGROUND:The prevalence of insomnia in patients with symptomatic secondary hyperparathyroidism and the improvements of sleep disturbances after parathyroidectomy have not been previously reported. METHODS:Thirty-one patients who had undergone successful total parathyroidectomy and autotransplantation for symptomatic...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2004.12.010
更新日期：2005-04-01 00:00:00
abstract：BACKGROUND:The importance of cigarette smoking in the etiology of peripheral arterial occlusive disease is well known, but there have been few studies that have quantified this relationship. METHODS:A case-control study design was used in which the case subjects were men with a history of claudication for at least 1 y...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1993-10-01 00:00:00
abstract：:Experiments were performed to determine whether thyroid-stimulating hormone (TSH) receptors coupled to adenylate cyclase are present in both benign and differentiated malignant thyroid tumors, and to identify abnormalities in the TSH receptor-adenylate cyclase system in neoplastic thyroid tissue. TSH binding and adeny...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1981-08-01 00:00:00
abstract：BACKGROUND:These experiments were designed to quantitatively compare the patterns of tissue thrombosis, cytokine response, and tissue viability in a murine model of partial (PI) versus complete hindlimb ischemia (CI), alone or with reperfusion (RE). METHODS:The control tension tourniquet was used to establish either P...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2005.06.005
更新日期：2005-08-01 00:00:00
abstract：BACKGROUND:Adhesions to polypropylene mesh used for abdominal wall hernia repair may eventuate in intestinal obstruction or enterocutaneous fistula. A Seprafilm Bioresorbable Membrane translucent adhesion barrier has been shown to inhibit adhesions. This investigation was designed to determine if Seprafilm alters abdom...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1067/msy.2000.106810
更新日期：2000-07-01 00:00:00
abstract：BACKGROUND:Acute respiratory failure is a common, life-threatening complication after severe trauma. Polymorphisms in cytokine genes, linked to cytokine inducibility, may influence the susceptibility to acute respiratory failure and serve as risk predictors. METHODS:This PROSPECTIVE cohort study (n = 100) included Cau...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2007.07.040
更新日期：2008-02-01 00:00:00
abstract：BACKGROUND:The glial cell line-derived neurotrophic factor (GDNF) is a member of neurotrophic polypeptide family, which promotes survival and rescue of various neural cells in the central and peripheral nerve systems. We previously reported that GDNF promotes tumor cell invasion in pancreatic cancer cell lines. The pur...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2005.07.007
更新日期：2005-10-01 00:00:00
abstract：BACKGROUND:The increasing success of renal transplantation is paralleled by the increased size of the waiting list. Efforts to increase the donor pool have included the use of living-unrelated kidney donors (LURDs). METHODS:During a 12-year period our center performed 309 transplantation from living donors; 279 patien...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/s0039-6060(96)80264-9
更新日期：1996-05-01 00:00:00
abstract：BACKGROUND:The Affordable Care Act aims to improve patient outcomes. Race/ethnicity and insurance status impact outcomes after traumatic brain injury. We sought to gauge the Affordable Care Act's effect on outcomes after traumatic brain injury, as graded by race/ethnicity and insurance status. METHODS:The National Tra...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2017.09.006
更新日期：2018-02-01 00:00:00
abstract：:The efficacy of nasogastric (NG) suction was evaluated in a prospective, randomized trial in 60 patients with acute pancreatitis of mild to moderate severity. Group I, NG (29 patients) was treated with NG suction, and group II, no NG (31 patients) was treated without NG suction. The presentation, cause of pancreatitis...
journal_title：Surgery
pub_type： 临床试验,杂志文章,随机对照试验
doi：
更新日期：1986-09-01 00:00:00
abstract：BACKGROUND:Early survival after pancreaticoduodenectomy has improved, but its morbidity remains high. The purpose of this study is to determine how the intra-operative (OR) occurrence of major vascular complications affects the outcome of pancreaticoduodenectomy. METHODS:The medical records of 180 consecutive patients...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1067/msy.2002.127688
更新日期：2002-10-01 00:00:00
abstract：BACKGROUND:Although the effect of preoperative biliary drainage in patients with obstructive jaundice is controversial, bacterial or endotoxin translocation is one of the main postoperative problem in jaundiced patients. Failure in gut barrier functions causes bacterial translocation; homing and distribution of T lymph...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2004.02.001
更新日期：2004-09-01 00:00:00
abstract：BACKGROUND:Over the years, several modifications of the Scopinaro biliopancreatic diversion (BPD) have been proposed. This retrospective study reported the results of 15 years of follow-up after open BPD coupled with a type of transient gastroplasty (TG) and duodenal switch (DS), termed BPD-TG with DS. METHODS:Data we...
journal_title：Surgery
pub_type： 杂志文章,多中心研究
doi：10.1016/j.surg.2012.06.039
更新日期：2013-03-01 00:00:00
