Advances in Clinical Chemistry, Vol. 12 by Oscar Bodansky (ed.), C.P. Stewart (ed.)

By Oscar Bodansky (ed.), C.P. Stewart (ed.)

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Continuous infusion with noradrenaline will produce this. A search of the earlier literature on the effect of injuries ranging in severity from simple hemorrhage to the seriously wounded on the metabolic response, indicates the extent of an underlying basic pattern. METABOLISM DURING THE POSTINJURY P m O D 21 Malcolm (M7) in his study of the Physwlogv of Death from Traumatic Fever noted that there might be evidence of increased nitrogen metabolism after a major operation although the body temperature remained low.

The ratio of methylcobalamin to total vitamin B,, derivatives of extractable B,, has been determined in liver from mice who were subjected to different types of injury (mechanical trauma, burns, and ionizing radiation) inflicted separately or in various combinations. A decrease in methylcobalamin was observed paralleling the severity of the damage. There may thus be a decreased synthesis of methycobalamin or a n increased catabolism or leakage from the liver-or combination of these causes. The method used did not determine the nonextractable cobalamin, so that a disappearance into a nonextractable form could have been the cause (L9).

TILSTONE centrations of serum y-globulin 2-4 weeks after burning were significantly lower than in patients not exposed to warm dry air. 3. Fibrinogen Plasma fibrinogen rises following stress in the form of tissue injury, hemorrhage, cortisone, Nembutal anesthesia, and probably also anxiety (C34a, G11, G15, H4, M1, W6, W9). Peak values may be twice the preoperative level or more, and are reached on days 2-8. Turpentine abcesses in animals, which normally cause an increase in plasma fibrinogen, fail to do so if the liver is poisoned (F5).

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