PMID: 19868311Jan 31, 1919

BLOOD VOLUME IN WOUNDED SOLDIERS : II. THE USE OF FORCED FLUIDS BY THE ALIMENTARY TRACT IN THE RESTORATION OF BLOOD VOLUME AFTER HEMORRHAGE

The Journal of Experimental Medicine
O H Robertson, A V Bock

Abstract

Blood volume tests made on a number of soldiers recovering from hemorrhage have shown that in many instances dilution of the blood occurs very slowly. The principal reasons for this seem to be (a) an initial lack of reserve fluid of the tissues, and (b) the absence of any subsequent attempt by the body to make up this fluid deficiency. By putting such patients on a large fluid intake by mouth and rectum it has been found that their blood volume can be promptly and greatly increased. Hemorrhage cases transfused, yet still showing a low blood volume, were first treated in this way. Then the effect of forced fluids without transfusion was tried. Immediately after a hemorrhage, or as soon as the patient came under observation, he was given large quantities of water by mouth, and salt solution by rectum. Under such treatment the blood pressure soon began to show a progressive rise, the volume increased, and the red cells became more evenly redistributed, as shown by the relative hemoglobin percentages of the capillary and venous blood. These changes were often well marked after only 2 or 3 hours of the treatment. More than this, forcing fluids in cases where the amount of bleeding is difficult to estimate on account of the presence ...Continue Reading

References

Nov 1, 1937·Postgraduate Medical Journal·W Hunter
Mar 10, 2009·Critical Care Clinics·Rizwan A ManjiAnand Kumar
Mar 1, 1947·Archives of Disease in Childhood·S J M RUSSELL
Jan 1, 1953·Archiv Für Orthopädische Und Unfall-Chirurgie·B LEITNER

Citations

Jan 31, 1919·The Journal of Experimental Medicine·O H Robertson, A V Bock

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