Postoperative Verminderung der Immunglobuline und des Komplements und ihre mögliche Bedeutung für infektiöse Komplikationen

Gierhake, F. W.; Plock-Kömnick, D.; Torrau, E.; Heide, K.-G.; Schaper, G

doi:10.1007/978-3-662-01079-2_90

Cited by 17 publications

(3 citation statements)

References 3 publications

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“…The deficiency of certain body proteins, which sets in at different rates, plays the greatest prognostic role, as could be shown impressively by decreased immune resistance, raised susceptibility to infection, and increased tendency to anastomosis or wound dehiscence when certain plasma proteins of the serum fell below their normal concentration [6,16,17].…”

Section: Discussionmentioning

confidence: 99%

Prophylaxis of complications after urological abdominal surgery by substitution of plasma proteins

Bauer¹,

Schmiedt²

1986

Journal of Surgical Oncology

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A prospective randomized trial on 94 patients undergoing urological-abdominal surgery has been carried out to evaluate the effect of postoperatively administered plasma proteins. A significant difference in the incidence of bronchopulmonary complications has been found between the treatment group and the control group. This may be due to the substitution of alpha 1-antitrypsin as indicated by assaying alpha-antitrypsin activity. A positive trend, but no significant differences, could be demonstrated for wound healing and the need for antibiotics, postoperatively.

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Section: Discussionmentioning

confidence: 99%

Prophylaxis of complications after urological abdominal surgery by substitution of plasma proteins

Bauer¹,

Schmiedt²

1986

Journal of Surgical Oncology

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“…Je stärker das Ausmaß der Katabolie, desto ausgeprägter ist die Abnahme der Immunglobuline sowie der Komplementfaktoren. Daher sollte die Prophylaxe postoperativer Infektionen eine Verhinderung der Katabolie und der dadurch bedingten negativen Auswirkungen auf die humoralen Immunitätsvorgänge beinhalten (5,15).…”

Section: Immunglobulineunclassified

Gezielte Hämotherapie (Bluttransfusion nach und mit Maß)¹

Reissigl¹

1983

Eur J Pediatr Surg

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Blood component therapy "Nach und mit Mass" = Preparation and Use of the Right Amount. Blood preservation, which is done using citrated blood to prevent coagulation, has been in use for more than 30 years in our hospital. Without stored blood modern surgery would be impossible. The use of plastic bags has made it possible to separate blood into its components. This is done in a closed system. Using blood components--blood cells and plasma derivatives--leads to the development of a more specific haemotherapy. This is done by first of all, isolating the blood cells and also separating plasma into its different components. The stored blood undergoes alterations as time passes by; this has to be considered according to indications such as for fresh blood ("warm blood") as well as for stored fresh blood, red blood cells (erythrocyte concentrates) or deep-frozen fresh plasma. In blood replacement, on other hand, for stopping of any bleeding you must consider the exact cause and indication. The use of micro-aggregate filters has to be considered. Generally, when there is an indication for blood transfusion, it is most important to consider also the "right amount". One should not only consider the indication for blood transfusion but at the same time possible errors. Each surgeon should periodically review the most important questions and problems of "transfusion medicine" such as the surgeons had to do who lived in previous decades.

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“…Die immunsuppressive Wirkung einer Operation ist vielfach beschrieben (30,31,64). Da die Immunglobuline Proteine mit kurzer Halbwertszeit darstellen, werden sie bei kataboler Stoffwechsellage rasch abgebaut (29,50) (30,50), was sich auch bei unseren Patienten in einem nur geringen Abfall und einem bereits Pm 5. postoperativen Tag bereits wieder sicht baren Anstieg zeigt.…”

Section: Ergebnisseunclassified

Der postoperative Stoffwechsel -Unterschiede zwischen prä- und postoperativem Beginn der totalen parenteralen Ernährung

Georgieff¹,

Kattermann²,

Geiger³

et al. 1980

Anästhesiol Intensivmed Notfallmed Schmerzther

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Postoperative Verminderung der Immunglobuline und des Komplements und ihre mögliche Bedeutung für infektiöse Komplikationen

Cited by 17 publications

References 3 publications

Prophylaxis of complications after urological abdominal surgery by substitution of plasma proteins

Prophylaxis of complications after urological abdominal surgery by substitution of plasma proteins

Gezielte Hämotherapie (Bluttransfusion nach und mit Maß)¹

Der postoperative Stoffwechsel -Unterschiede zwischen prä- und postoperativem Beginn der totalen parenteralen Ernährung

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Postoperative Verminderung der Immunglobuline und des Komplements und ihre mögliche Bedeutung für infektiöse Komplikationen

Cited by 17 publications

References 3 publications

Prophylaxis of complications after urological abdominal surgery by substitution of plasma proteins

Prophylaxis of complications after urological abdominal surgery by substitution of plasma proteins

Gezielte Hämotherapie (Bluttransfusion nach und mit Maß)1

Der postoperative Stoffwechsel -Unterschiede zwischen prä- und postoperativem Beginn der totalen parenteralen Ernährung

Contact Info

Product

Resources

About

Gezielte Hämotherapie (Bluttransfusion nach und mit Maß)¹