[Anesthesia of thoracic injury patients. "Apropos of 40 cases of general anesthesia of traumatic patients with respiratory insufficiency"].
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Biomedical subjects
Publications and source records attributed to P Dupont.
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The hypothalamo-neurohypophyseal function was evaluated in a patient with the chronic hypernatremia syndrome. By dosing plasmatic neurophysins, a selective loss of the osmoreceptor function was demonstrated. Morphine administration was followed by a reduction of the diuresis and a slight elevation of plasmatic neurophysins. The mechanism of morphine action is discussed.
On the basis of 100 cases of hypercalcemia, the authors attempt to elucidate the criteria of the etiologic diagnosis. Kidney lithiasis or nephrocalcinosis suggested a primary hyperparathyroidism (HPT I) or an intoxication due to vitamin D. X rays of the skeleton and quantitative histological exams of the bone were not useful in the diagnosis of HPT I. The level of parathormone in the plasma is the best parameter to be used in distinguishing HPT I from other diseases. In the absence of renal insufficiency or severe intestinal disorders, a phospharemia below 2.6 mg/100 ml, a chloremia above 103 m EG/l and bicarbonates below 25 m Eg/l indicate an HPT I or a paraneoplasic. A phosphoremia above 3.2 mg/100 ml runs counter to this diagnosis. The chloremia/phosphoremia ratio is not more helpful than the phosphoremia alone.