Infusionstherapie und klinische Ernahrung最新文献_第10页

[Renal effects of dopamine in healthy adults with special reference to the excretion of phosphate and calcium]. [多巴胺对健康成人肾脏的影响，特别涉及磷酸盐和钙的排泄]。

Infusionstherapie und klinische Ernahrung Pub Date : 1986-10-01

U Finsterer, R Rötzer

引用次数: 0

[Intraoperative infusion therapy. Evaluation of the rate of administration and assessment of the effectiveness of infusion warmers]. 术中输液治疗。输液加热器给药率评价及疗效评价[j]。

Infusionstherapie und klinische Ernahrung Pub Date : 1986-10-01

J Nagler

引用次数: 0

[Therapy using blood components. Prerequisites, indications and clinical use]. [使用血液成分的治疗。先决条件，适应症和临床使用]。

Infusionstherapie und klinische Ernahrung Pub Date : 1986-10-01

D Glück, B Kubanek, F W Ahnefeld

{"title":"[Therapy using blood components. Prerequisites, indications and clinical use].","authors":"D Glück, B Kubanek, F W Ahnefeld","doi":"","DOIUrl":"","url":null,"abstract":"The therapeutic benefit of blood components for specific substitution and volume replacement has been recognized for more than ten years. The increasing demand for blood and blood products, especially for albumin in connection with an only moderate growth of the base of blood donors has promoted the idea of a more efficient utilization of blood by specific replacement with blood components. The component therapy has reduced the side effects and improved the efficacy of blood transfusion and last but not least has led to a positive cost-effectiveness. Our clinical management of blood transfusion with a nearly complete use of components in surgical patients is presented. Particularly, the therapeutic strategy for massive transfusions by component therapy is discussed. In face of the technical and logistic problems, a transfusion schedule was developed which outlines the nearly exclusive therapeutic use of components. It applies with modifications and adjustment to the critical parameters to all cases of rapid and massive blood loss. In addition, diagnostic and therapeutic strategies are considered to preserve hemostasis or correct occurring hemostatic defects and to prevent thrombo-embolic events.","PeriodicalId":75931,"journal":{"name":"Infusionstherapie und klinische Ernahrung","volume":"13 5","pages":"240-9"},"PeriodicalIF":0.0,"publicationDate":"1986-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14922013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Anthropometric parameters]. 人体测量参数。

Infusionstherapie und klinische Ernahrung Pub Date : 1986-10-01

U Brenner, J M Müller, M Walter, W Holzmüller, H W Keller

引用次数: 0

A randomized trial on the effect of isotonic amino acid infusion on postoperative complications and short life plasma protein concentrations. 等渗氨基酸输注对术后并发症和短寿命血浆蛋白浓度影响的随机试验。

Infusionstherapie und klinische Ernahrung Pub Date : 1986-10-01 DOI: 10.1159/000222147

A Sitges-Serra, J Figueras-Felip, A Alastrue-Vidal, E Jaurrieta-Mas, A Rafecas-Renau

{"title":"A randomized trial on the effect of isotonic amino acid infusion on postoperative complications and short life plasma protein concentrations.","authors":"A Sitges-Serra, J Figueras-Felip, A Alastrue-Vidal, E Jaurrieta-Mas, A Rafecas-Renau","doi":"10.1159/000222147","DOIUrl":"https://doi.org/10.1159/000222147","url":null,"abstract":"In a randomized clinical study 30 patients with high risk surgical procedures were distributed to receive either standard fluid-therapy (n = 14) or an isotonic amino acid solution (n = 16) during five days. The patients were evaluated pre- and postoperatively using: anthropometric parameters: body weight, biceps and triceps skinfold thickness, and mid arm circumference; biochemical parameters: albumin, prealbumin, transferrin, retinol-binding protein, total iron-binding capacity, and cholesterol; and delayed cutaneous hypersensitivity. Clinical outcome and complications were also recorded. Positive ketonuria was obtained soon in the treatment group after 24 h. Mean daily nitrogen balance was better in the protein sparing group (-3.8 g vs -9.3 g) p less than 0.02. No differences were observed between both groups in the postoperative plasma protein levels. There were no significant differences in delayed cutaneous reactivity nor anthropometric parameters between both groups; and mortality and morbidity were similar. The present study lends little support for substituting the routine D5W and saline postoperative fluid regime. No clinical advantage of amino acids over standard fluids could be appreciated indicating that the much less expensive conventional solutions should not be replaced by amino acids, at least in routine postoperative cases.","PeriodicalId":75931,"journal":{"name":"Infusionstherapie und klinische Ernahrung","volume":"13 5","pages":"210-4"},"PeriodicalIF":0.0,"publicationDate":"1986-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000222147","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14665126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

[Experiences with L-carnitine in the post-stress phase]. [应激后阶段左旋肉碱的使用经验]。

Infusionstherapie und klinische Ernahrung Pub Date : 1986-10-01

D Balogh, J M Hackl, E Legenstein, H E Musil

{"title":"[Experiences with L-carnitine in the post-stress phase].","authors":"D Balogh, J M Hackl, E Legenstein, H E Musil","doi":"","DOIUrl":"","url":null,"abstract":"A prospective randomized double blind investigation was made in 24 multiple injured patients. All patients were treated with a combined parenteral-enteral nutrition during 7 days. A group of 11 patients received as a continuous infusion over 16 h 60 mg/kg BW carnitine daily. Beside carnitine and acetylcarnitine levels in plasma and urine the following parameters were determinated to evaluate the effect of carnitine: for the metabolism of fatty acids: triglycerides, free fatty acids (FFA), alpha-hydroxy-butyrate for the metabolism of carbohydrates: glucose, insulin and lactate in plasma. Finally for amino acid metabolism: urea, creatinine, cholinesterase and kolloid osmotic pressure in plasma as well as ureanitrogen and alpha-aminonitrogen excretion in urine. In the patients receiving carnitine especially acetyl-carnitine in plasma and acetyl-carnitine excretion in urine increased, proving that the administered carnitine can pass through the mitochondrial membrane. In these patients the plasma level of FFA was markedly lower than in the group without carnitine. Simultaneously the level of the alpha-hydroxybutyrate was elevated, equivalent to an increased oxydation of fatty acids. There was no difference between the two groups in the metabolism of carbohydrates. Administration of carnitine caused a slight increase of the production of urea (PU), catabolism could not be reduced. The excretion of alpha-aminonitrogen in urine augmented after carnitine infusion. Carnitine is an AA itself and so the amount of excreted alpha-amino nitrogen will increase; additionally the reabsorption of AA in the proximal renal tubulus may be inhibited by carnitine.","PeriodicalId":75931,"journal":{"name":"Infusionstherapie und klinische Ernahrung","volume":"13 5","pages":"204-8"},"PeriodicalIF":0.0,"publicationDate":"1986-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14232733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The interpretation of ribosome determinations to assess protein synthesis in human skeletal muscle. 核糖体测定评估人类骨骼肌蛋白质合成的解释。

Infusionstherapie und klinische Ernahrung Pub Date : 1986-08-01 DOI: 10.1159/000222133

J Wernerman, A von der Decken, E Vinnars

引用次数: 9

[Ammonia and glutamine metabolism of the intestine. The effect of lactulose and neomycin]. 肠道的氨和谷氨酰胺代谢。乳果糖与新霉素的作用[j]。

Infusionstherapie und klinische Ernahrung Pub Date : 1986-08-01

P B Soeters, P A van Leeuwen

{"title":"[Ammonia and glutamine metabolism of the intestine. The effect of lactulose and neomycin].","authors":"P B Soeters, P A van Leeuwen","doi":"","DOIUrl":"","url":null,"abstract":"The present work is directed to distinguish between ammonia production by the mucosa and by the intestinal flora, as well as to evaluate the influence of neomycin and lactulose. In vitro studies using rat intestine show that mucosa cells produce ammonia alanine and glutamic acid when incubated with glutamine, whose process can be impaired by neomycin or lactulose. Since the release of the above solutes is virtually the same in germ-free rats, the influence of the bacterial flora might be negligible under the experimental conditions used. Elimination of the aerobic microorganisms results in a minute decrease of ammonia concentration in portal blood in contrast to elimination of the anaerobic flora, which leads to an excessive reduction of ammonia formation. In germ-free rats colonisation with anaerobic microorganisms results in an increment in portal ammonia concentration, whose value, however, is still below levels observed in normal animals. Colonisation with aerobic bacteria has no effect on portal ammonia concentration. Neomycin and lactulose affect ammonia production in the gut by interfering with glutamine uptake in the mucosa cell, thus the influence upon ammonia formation apparently can not be exclusively explained by alterations of the intestinal flora. Possible reasons for the considerable increase in arterial glutamine levels in normal rats are discussed.","PeriodicalId":75931,"journal":{"name":"Infusionstherapie und klinische Ernahrung","volume":"13 4","pages":"186-90"},"PeriodicalIF":0.0,"publicationDate":"1986-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14876822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Fat emulsions are more than energy suppliers. 脂肪乳剂不仅仅是能源供应商。

Infusionstherapie und klinische Ernahrung Pub Date : 1986-08-01 DOI: 10.1159/000222137

Y A Carpentier, B E Bihain, R J Deckelbaum

引用次数: 1

A concentrated mixture of amino acids and dipeptides for total parenteral nutrition. 氨基酸和二肽的浓缩混合物，用于全肠外营养。

Infusionstherapie und klinische Ernahrung Pub Date : 1986-08-01 DOI: 10.1159/000222140

J A Vazquez, G A Paleos, H Lochs, K Langer, M Brandl, S A Adibi

{"title":"A concentrated mixture of amino acids and dipeptides for total parenteral nutrition.","authors":"J A Vazquez, G A Paleos, H Lochs, K Langer, M Brandl, S A Adibi","doi":"10.1159/000222140","DOIUrl":"https://doi.org/10.1159/000222140","url":null,"abstract":"Using a subhuman primate (baboon) we have investigated the utility of a 20% mixture of amino acids and dipeptides as the nitrogen source for total parental nutrition. The mixture, besides containing all 8 essential amino acids and a number of non-essential amino acids (glutamate, aspartate, arginine, histidine, serine, ornithine and alanine), contained 6 dipeptides (Gly-Ile, Gly-Leu, Gly-Val, Gly-Tyr, Gly-Gln, and Ala-Gln) and acetyl-cysteine. A week of total parenteral nutrition was preceded by one week of oral feeding. The caloric intake and composition during the two periods was identical except for the nitrogen source, which was intact protein during the oral period, and the mixture of amino acids and dipeptides during the parenteral period. There was no significant difference between gain in body weight or nitrogen balance during the two periods. There were selective increases in plasma and muscle concentrations of amino acids during the parenteral period, which appeared to reflect the amino acid enrichment of the nitrogen source. The efficient utilization of dipeptides was evidenced by their small concentrations in plasma and urine. The urinary excretion of dipeptides was about 1% of the amount infused. This efficiency of dipeptide utilization persisted even when the infusion rate of the amino acid and dipeptide mixture was increased by 7-fold. There was no alteration in liver, kidney, and immune function during the parenteral period. The data indicate the efficacy and safety of the mixture of amino acids and dipeptides as the nitrogen source for parenteral nutrition.","PeriodicalId":75931,"journal":{"name":"Infusionstherapie und klinische Ernahrung","volume":"13 4","pages":"193-8"},"PeriodicalIF":0.0,"publicationDate":"1986-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000222140","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14224887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3