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August 25, 1934

Hypochlorémie et accidents post-opératoires: Étude clinique, pathogénique et thérapeutique

JAMA. 1934;103(8):629. doi:10.1001/jama.1934.02750340093034

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The authors go into considerable detail regarding postoperative complications, which they classify in four main groups: (1) those resulting from hemorrhage, (2) those caused by infectious complications either at the local operative site or in some distant part of the body, (3) those caused by mechanical disturbances, such as a mechanical intestinal obstruction and gastric dilatation, and (4) those due to various toxic manifestations. The last group is considered in most detail and comprises a discussion, for the most part, of disturbed blood chemistry, resulting in uremia, alkalosis, acidosis, hypochloremia and other chemical disturbances. The cause, prevention and treatment of these conditions are discussed and the underlying chemical factors considered. Emphasis placed on the preoperative and postoperative treatment of patients makes this book well worth reading.

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