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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
|
pubmed:dateCreated |
1983-6-10
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pubmed:abstractText |
The estimation of the intraoperative fluid requirements can be particularly difficult in patients with compartmental disturbances, e.g. hepatic cirrhosis. The case history of a 41 year old female with a known history of liver cirrhosis is reported who underwent emergency surgery due to upper gastro-intestinal bleeding. In order to maintain hemodynamic stability preoperative blood loss was replaced with fresh blood. During the operation 4 liters of bank and fresh blood with 5 liters of erythrocyte-free fluids were administered. After operation reliable clinical signs of hypovolemia and a marked increase in hematocrit were noted. The severe hemoconcentration was explained by excessive fluid shifts away from the intravascular compartment since a total amount of 10 liters of ascites was collected for the next 24 hours. This overproduction can be related to portal hypertension, hypoalbuminemia and activation of the renin-angiotensin-aldosterone system.
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pubmed:language |
ger
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Feb
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pubmed:issn |
0174-1837
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
18
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
34-6
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:6846755-Adult,
pubmed-meshheading:6846755-Ascites,
pubmed-meshheading:6846755-Duodenal Ulcer,
pubmed-meshheading:6846755-Erythrocyte Volume,
pubmed-meshheading:6846755-Female,
pubmed-meshheading:6846755-Humans,
pubmed-meshheading:6846755-Intraoperative Complications,
pubmed-meshheading:6846755-Liver Cirrhosis,
pubmed-meshheading:6846755-Peptic Ulcer Hemorrhage,
pubmed-meshheading:6846755-Plasma Volume
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pubmed:year |
1983
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pubmed:articleTitle |
[Hemoconcentration caused by excessive intraoperative ascites production in ulcer bleeding].
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pubmed:publicationType |
Journal Article,
English Abstract,
Case Reports
|