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  • 1
    ISSN: 1435-2451
    Keywords: Burn disease ; Toxin isolation ; Electromycroscopy of the liver ; Immunology ; Verbrennungskrankheit ; Toxinisolierung ; Elektronenmikroskopie der Leber ; Immunologie
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: ZusammenfaBung Bei der Verbrennung bilden sich toxische Substanzen in der Haut, die aus tierischer, menschlicher Haut und dem Serum schwerverbrannter Patienten isoliert wurden. Das „Toxin”, ein Lipid-Protein-Komplex, das als Vorstufe in der normalen Haut vorkommt, wirkt im Tierversuch bei i.p. Applikation letal, setzt die Infektionsresistenz herab, wird in allen Organen angereichert und schädigt die Zellen, wie Untersuchungen der Ultrastruktur und des Stoffwechsels der Leber nachwiesen. Ein Antitoxin wurde entwickelt, das im Tierversuch eine signifikante Schutzwirkung zeigte.
    Notes: Summary In high temperature burns a specific substance is formed in the skin that has been isolated from in vitro burned animal and human skin as well as from serum of serverely burned patients. This toxic lipid-protein complex derived from a naturally occurring precursor has a lethal effect when injected i.p. into recepient mice. It accumulates in all organs and reduces the animals' resistance to infection. Cell destruction was shown by ultrastructural and metabolic changes in the liver. An antitoxin was developed that protects against the lethal effect as well as the superimposed sepsis.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-1440
    Keywords: Ascites ; Liver cirrhosis ; Xipamide ; Spironolactone ; Furosemide ; Resistance to diuretics ; Fractional sodium excretion ; Side effects
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary In a randomized prospective study the efficacy and side effects of xipamide versus the combination spironolactone/furosemide in the treatment of cirrhotic ascites were studied. Out of 27 patients four responded to a basic treatment consisting of salt and water restriction and one had to be excluded because of deterioration of kidney function. The remaining 22 patients were randomized to additional treatment with either 20 mg xipamide/day (group I) or 200 mg spironolactone/ day combined with 40 mg of furosemide every other day (group II). A response to treatment during the first 4 days was seen in 7 of 11 patients of group I versus only 3 of 11 patients in group II. In the latter group 7 of 11 patients finally responded after 8 days of treatment. Responsiveness to either diuretic treatment strongly depended on pretreatment fractional Na excretion, FENa. The resistance to diuretic treatment can be predicted by a FENa〈0.2%, and could be overcome by additional strategies known to reduce avid proximal Na reabsorption. Xipamide frequently induced hypokalemia, whereas hyperkalemia was seen following treatment with spironolactone/furosemide. Kidney function remained stable during either diuretic treatment.
    Type of Medium: Electronic Resource
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