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Research Article| Volume 1, ISSUE 4, P271-278, 1970

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Metabolic studies with labelled albumin in patients with paraplegia and other injuries

  • J.W.L. Davies
    Correspondence
    Requests for reprints should be addressed to:—J. W. L. Davies, Esq., Ph.D., M.R.C. Industrial Injuries and Burns Unit, Birmingham Accident Hospital, Bath Row, Birmingham 15.
    Affiliations
    M.R.C. Industrial Injuries and Burns Unit, Birmingham Accident Hospital, and King Gustaf V Research Institute and Surgical Department, Karolinska Sjukhuset, Stockholm, Sweden
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  • S.-O. Liljedahl
    Affiliations
    M.R.C. Industrial Injuries and Burns Unit, Birmingham Accident Hospital, and King Gustaf V Research Institute and Surgical Department, Karolinska Sjukhuset, Stockholm, Sweden
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  • P. Reizenstein
    Affiliations
    M.R.C. Industrial Injuries and Burns Unit, Birmingham Accident Hospital, and King Gustaf V Research Institute and Surgical Department, Karolinska Sjukhuset, Stockholm, Sweden
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      This paper is only available as a PDF. To read, Please Download here.
      This study in 8 injured patients, 4 of whom were also paralysed showed that:—
      • 1.
        Identical increased sedimentation rates, increased concentrations of α2 globulins, and increased rates of catabolism of albumin were observed in both the paralysed and non-paralysed patients following reparative surgery of a fractured tibia and fibula or extensive decubital ulcers.
      • 2.
        Plasma albumin concentrations were subnormal in both groups of patients following the operations.
      • 3.
        The paralysed patients showed an extravascular content of albumin which was about twice that found in normal individuals. The extravascular content of albumin in the non-paralysed injured patients was only slightly elevated above normal.
      • 4.
        The limits of the rate of synthesis of albumin were subnormal in both the paralysed and non-paralysed patients except during a few days immediately after the operation.
      • 5.
        The significance of these results in the absence of an intact nerve pathway from the site of injury is discussed.
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      References

        • Åsén P.
        • Böttiger L.E.
        • Engstedt L.
        • Liljedahl S.-O.
        • Zetterström B.
        • Birke G.
        Studies on Trauma. I. Intravascular Aggregation of Erythrocytes and Changes in Serum Proteins and Protein Bound Carbohydrates.
        Acta chir. scand. 1965; 130: 399
        • Baar S.
        • Topley E.
        Haemoglobin Metabolism and Serum Proteins following Trauma.
        Acta med. scand. 1956; 153: 319
        • Birke G.
        • Liljedahl S.-O.
        • Plantin L.-O.
        • Reizenstein P.
        Studies on Burns. IX. The Distribution and Losses through the Wound of 131I Albumin measured by Whole Body Counting.
        Acta chir. scand. 1968; 134: 27
        • Birke G.
        • Liljedahl S.-O.
        • Plantin L.-O.
        • Wetterfors J.
        Albumin Catabolism in Burns and following Surgical Procedures.
        Acta chir. scand. 1959; 118: 353
        • Cohen S.
        • Freeman T.
        • McFarlane A.S.
        Metabolism of 131I Labelled Human Albumin.
        Clin. Sci. 1961; 20: 161
        • Cuthbertson D.P.
        The Disturbance of Metabolism produced by Bony and Non Bony Injury with Notes on Certain Abnormal Conditions of Bone.
        Biochem. J. 1930; 24: 1244
        • Davies J.W.L.
        • Liljedahl S.-O.
        • Birke G.
        Protein Metabolism in Burned Patients treated in a Warm (32°C.) or Cool (22°C.) Environment.
        Injury. 1969; 1: 43
        • Davies J.W.L.
        • Liljedahl S.-O.
        • Reizenstein P.
        Fibrinogen Metabolism following Injury and its Surgical Treatment.
        Injury. 1970; 1: 178
        • Davies J.W.L.
        • Ricketts C.R.
        • Bull J.P.
        Studies of Plasma Protein Metabolism. I. Albumin in Burned and Inuured Patients.
        Clin. Sci. 1962; 23: 411
        • Davies J.W.L.
        • Ricketts C.R.
        • Bull J.P.
        Studies of Plasma Protein Metabolism. II. Pooled γ Globulin in Burned and Injured Patients.
        Clin. Sci. 1963; 24: 371
        • Egdahl R.H.
        Pituitary Adrenal Response following Trauma to the Isolated Leg.
        Surgery, St Louis. 1959; 46: 9
        • Egdahl R.H.
        • Peck L.
        • Mack E.
        Pituitary Adrenal Activation following Different Types of Trauma.
        in: Combined Injuries and Shock: Intermedes Proceedings, 19671968: 91
        • Liljedahl S.-O.
        • Olhagen B.
        • Plantin L.-O.
        • Birke G.
        Studies on Burns. VII. The Problem of Infection with Special Reference to Gamma Globulin.
        Acta chir. scand. 1963; (Suppl.): 309
        • Liljedahl S.-O.
        • Reizenstein P.
        • Åsén P.
        Studies on Trauma. III. Plasma Iron Elimination Rate.
        Acta chir. scand. 1969; 135: 275
        • Mouridsen H.T.
        Turnover of Human Serum Albumin before and after Operations.
        Clin. Sci. 1967; 33: 345
        • Reizenstein P.
        • Karlsson H.Å.
        Clinical Whole Body Counting—Whole Body Scanner with Two Crystals.
        Acta radiol. 1966; 4: 209
        • Steinfeld J.L.
        Difference in Daily Albumin Synthesis between Normal Men and Women as measured with 131I Labelled Albumin.
        J. Lab. clin. Med. 1960; 55: 904
        • Veall N.
        • Vetter H.
        Radioisotope Techniques in Clinical Research and Diagnosis.
        in: Butterworths, London1958: 324