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Springer Mehrfachverletzungen: 127 (Anaesthesiologie und Intensivmedizin Anaesthesiology and Intensive Care Medicine, 127)

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Description

Prinzip unserer Therapie bei Mehrfachverletzungen mu~ - bezogen auf den Wasser-Elektrolyt Haushalt - sein, den Erhaltungs-und Funktionsstoffwechsel zu sichem bzw. wieder herzustel len. Die korpereigenen Kompensationsmechanismen konnen vom Organismus nur zeitlich limi tiert aufrech t erhal ten werden; eine friihzeitige und ausreichende Volumensubsti tu tion en tspre chend den hiiufig sehr hohen Verlusten ist daher entscheidend. Nur so konnen irreversible Or ganschiiden, die unabhiingig von der primiiren Verletzung den weiteren Verlauf des Schockge schehens bestimmen, vermieden werden. Literatur 1. Ahnefeld, F . W. , Burri, C. , Kilian, J. : Schock und Schockbehandlung. Chimrg 47, 157 (1976) 2. Allgower, M. : Der traumatisch-hamorrhagische Schock. Chimrg 45,103 (1974) 3. Berman, I. R. , Iliescu, H. , Ranson, J. H. C. , Eng, K. : Pulmoaruy capillary permeability - a transfusion lesion. J. Trauma 16,471 (1976) 4. Davis, J . 0. : What signals the kidney to release renin? Circulation Res. 28,3011 (1971) 5. Eigler, J. , Held, E. : Mikrozirkulation in der Niere. In: Mikrozirkulation. Ahnefeld, F. W. , Burri, C. , Dick, W. , Halmagyi, M. (Hrsg), p. 102, Schriftenreihe Klin. Anasthesie und Intensivtherapie, Bd. 5, Berlin, Heidelberg, New York: Springer 1974 6. Ganzoni, A. M. : Fortschritte der Transfusionsmedizin. ArztI. Praxis 28, 3115 (1976) 7. Ganzoni, A. M. , Reuff, U. , Stampe, D. , Koerner, K. , Kilian, J. : Mikroaggregate im gelagerten Blut. Ver und buffycoatfreiem Erythrozytenkonzentrat. Anaesthesist gleichende Untersuchungen an Vollblut 27, 115 (1978) 8. Jarhult, J. : Osmotic fluid transfer from tissue to blood during hemorrhagic hypotension. Acta physiol. scand.

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