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October 24, 1931


Author Affiliations

Willard, N. Y.

JAMA. 1931;97(17):1245. doi:10.1001/jama.1931.02730170057033

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To the Editor:  —I noticed with interest an article in The Journal, August 22, by Drs. Root and Henson giving in detail the history of a case of appendicitis which postoperatively was followed by vomiting and anuria or retention. The patient was evidently relieved by the injection of 60 cc. of a 10 per cent solution of sodium chloride intravenously in the short period of four hours. The cause of the condition they assume to be a lowered blood chloride content, which in this case by actual measurement was 248 mg., caused by the vomiting. To me the lowered chloride content appears extremely doubtful as the cause of the anuria, which can be much more readily explained on the dehydration produced by the vomiting, especially since the injection of 1,650 cc. of physiologic solution of sodium chloride given previously by hypodermoclysis failed to relieve the condition. In this case the

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