| Septic shock associated with operations for colorectal disease. | |
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MedLine Citation:
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PMID: 710238 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The hospital records of 24 patients with septic shock associated with the need for surgical treatment of diseases of the colon and rectum were reviewed. In this group of patients shock was caused by gram-negative or anaerobic microorganisms. The sources or infection were the abdomen, chest, and urinary tract. Nineteen (79 per cent) patients survived the acute shock episode, but only four (16 per cent) were permanent survivors. The 15 patients who died following resuscitation from shock succumbed to continuing infection and/or multiple organ failure. Although the timing of treatment did not affect immediate survival, long-term survival occurred only among those patients treated early in the course of shock. Accordingly, the pathophysiology of early septic shock is presented, and the need to recognize and treat the condition at this stage is emphasized. In addition, the author's current treatment protocol, with which they have been able to achieve 85 per cent acute and 60 per cent long-term survival, is discussed. |
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Authors:
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C H Shatney; R C Lillehei |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Diseases of the colon and rectum Volume: 21 ISSN: 0012-3706 ISO Abbreviation: Dis. Colon Rectum Publication Date: 1978 Oct |
Date Detail:
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Created Date: 1979-01-24 Completed Date: 1979-01-24 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0372764 Medline TA: Dis Colon Rectum Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 480-6 Citation Subset: IM |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Colon / surgery* Colonic Diseases / surgery* Female Hemodynamics Humans Male Middle Aged Minnesota Postoperative Complications* / diagnosis, mortality, physiopathology Rectal Diseases / surgery* Rectum / surgery* Retrospective Studies Shock, Septic / diagnosis, etiology*, mortality, physiopathology Time Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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