ACUTE PROTEIN DEFICIENCY (HYPOPROTEINEMIA) IN SURGICAL SHOCK

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Abstract
The war has emphasized the importance of surgical shock in such injuries as severe hemorrhage and tissue trauma and has led to many advances in its treatment. Moreover, this increased interest has thrown much light on many other related clinical conditions in civil as well as military surgery, such as burns, intestinal obstruction, strangulation and general peritonitis. Because an acute protein deficiency is shared by these various conditions, I wish to approach their therapy biochemically rather than physiologically. Moreover, this point of view has been generally neglected and leads, I believe, to much of practical value. Acute protein deficiency is shared by these conditions because they all suffer in common from an acute loss of plasma, which is essentially a protein-containing fluid. There are several reasons why this loss of plasma protein should be studied as an acute protein deficiency rather than simply as acute hypoproteinemia. In the first place

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