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Postaggressionsstoffwechsel

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Intensivmedizin

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Zusammenfassung

Betrachtet man die einzelnen am Stoffwechsel direkt oder indirekt beteiligten Organe schematisch als in Serie geschaltete Systeme (Abb. 1), so wird ihre enge funktionelle Koppelung deutlich: Bei der Versorgung stehen die eigentlichen Stoffwechselvorgänge naturgemäß am Ende dieser Kette. Versorgungsorgane wie die Lunge oder das arterielle Kreislaufsystem (Transportsystem) sind den Stoffwechselvorgängen gewissermaßen vorgeschaltet. Dagegen stehen bei der Entsorgung die Stoffwechselvorgänge als globale Quelle am Anfang des Entsorgungsflusses. Aus dieser Sicht können Entsorgungsorgane wie Leber, Niere und Lunge als nachgeschaltete Organe betrachtet werden. Während somit die arterielle Seite durch die Substratkonzentration und den Blutfluß das Angebot an die Organe global kennzeichnet, spiegelt die venöse Seite als Resultante abgelaufener Stoffwechselvorgänge einerseits den Ausnutzungsgrad des Angebotes wider (so z.B. bei Sauerstoff und Glukose), andererseits aber auch die Substratproduktion, z.B. Kohlendioxid oder Laktat (Einzelheiten s. Kap. 21).

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Authors
  1. M. Semsroth
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Editors and Affiliations

  1. Univ.-Klinik für Anästhesie und Allgemeine Intensivmedizin, Univ. Innsbruck, Anichstr. 35, A-6020, Innsbruck, Österreich

    Herbert Benzer

  2. Zentrum Anästhesiologie, Rettungs- und Intensivmedizin, Universität Göttingen, Robert-Koch-Str. 40, D-37075, Göttingen, Deutschland

    H. Buchardi

  3. Klinik für Anästhesiologie und Intensivmedizin, Universitätskliniken des Saarlands, D-66424, Homburg/Saar, Deutschland

    Reinhard Larsen

  4. Div. des Soins Intensifs Chirurgicaux, Département d’Anesthésiologie, Hôpital Cantonal Universitaire, CH-1211, Genève 14, Schweiz

    Peter M. Suter

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© 1995 Springer-Verlag Berlin Heidelberg

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Semsroth, M. (1995). Postaggressionsstoffwechsel. In: Benzer, H., Buchardi, H., Larsen, R., Suter, P.M. (eds) Intensivmedizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-97929-3_34

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  • DOI: https://doi.org/10.1007/978-3-642-97929-3_34

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-97930-9

  • Online ISBN: 978-3-642-97929-3

  • eBook Packages: Springer Book Archive

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