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ID 19027
Eprint ID
19027
FullText URL
Thumnail 71_169.pdf 4.01 MB
Title Alternative
Transfusion of Preserved Blood and Electrolyte Metabolism Part Ⅰ. Fluctuation of Electrolytes in Serum on Massive Transfusion of Preserved Blood
Author
Sudo, Kazuo
Abstract
In the experiment of massive transfusion of compatible preserved blood on dogs, Na-, Cl-, K-, total Ca and Ca-ion-concentration were determined, and electrocardiograms were taken of each case as reference simultaneously. These electrolytes were also determined on patients needed massive transfusion during surgery, and Na- and K-concentration in plasma of preserved blood were traced day by day. Results obtained are as follows: 1) In the blood stored in ice box of 2° to 5℃ of temperature the serum potassium was increased, on the contrary lowered the serum sodium. 2) On massive transfusion of preserved blood, concentration of serum electrolytes of recipients showed minimum fluctuation. 3) The fluctuation of electrolytes was not significantly related to the transfusion rate, nor the preservation period of blood transfused. 4) Serum calcium-ion level was determined on the patients showed hemorrhagic tendency during surgery, but no noticeable correlation was observed. 5) The electrocardiograms showed no significant findings. 6) In the control experiment of fresh blood transfusion, the serum electrolytes did not show marked changes. From the results obtained above, it is concluded that massive transfusion of preserved blood is not dangerous in a sense of serum electrolyte level, although it is preferable to transfuse fresh blood in the following cases; cases in the conditions which will cause hyperpotassemia, infant, cases under hypothermia and impaired calcium metabolism, or cases with circulatory disturbances.
Published Date
1959-01-31
Publication Title
岡山医学会雑誌
Publication Title Alternative
Journal of Okayama Medical Association
Volume
volume71
Issue
issue1
Publisher
岡山医学会
Publisher Alternative
Okayama Medical Association
Start Page
169
End Page
189
ISSN
0030-1558
NCID
AN00032489
Content Type
Journal Article
Official Url
https://www.jstage.jst.go.jp/article/joma1947/71/1/71_1_169/_article/-char/ja/
Related Url
http://www.okayama-u.ac.jp/user/oma/
language
日本語
Copyright Holders
岡山医学会
File Version
publisher
Refereed
True
Eprints Journal Name
joma