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- W2322755870 abstract "Plasma ADH levels during hepatic resection were measured in 16 patients with hepatoma to evaluate the stress responses under this extensive surgical procedure. 7 patients underwent total gastrectomy were also studied as a control group.Plasma ADH, osmolality, Mean Arterial Pressure, Pulmonary Capillary Wedge Pressure, Cardiac Output, PaCO2 and Ccr were measured prior to anesthesia, during and at the end of and 6 hours after operation, respectively. Modified NLA with diazepam-fentanyl-nitrous oxide-oxgen-pancuronium was administered. Ringer lactate 10ml/kg/hr with plasma and glucose was infused intraoperatively.Plasma ADH rose significantly during operation in both groups and the elevation in this hormone was less prominent in hepatic group, unexpectedly (maximal elevation: 23.3pg/ml in hepatoma and 29.2pg/ml in control). MAP, PCWP, and CO increased during operation in the same way as plasma ADH. Plasma osmolality showed slight elevation and PaCO2 decreased significantly during operation.Accordingly, the main stimuli for ADH secretion could be the painful surgical stimuli which might be less potent in hepatic resection than in total gastrectomy." @default.
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- W2322755870 date "1983-01-01" @default.
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- W2322755870 title "Plasma ADH levels during hepatic resection" @default.
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- W2322755870 doi "https://doi.org/10.2199/jjsca.3.236" @default.
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