December 1953
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5 Reads
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2 Citations
Journal of Thoracic Surgery
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December 1953
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5 Reads
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2 Citations
Journal of Thoracic Surgery
September 1952
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3 Reads
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10 Citations
The American Journal of Medicine
August 1952
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4 Reads
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3 Citations
The American Journal of Medicine
Intensive studies on acid-base balance of the blood have been made on four patients with renal disease and two patients with respiratory disease. Applying the concepts of Singer and Hastings, the data have been interpreted in terms of the two physiologically important variables, namely, the whole blood buffer base and CO2 tension. The clinical value of this simplified method of interpretation has been demonstrated. The whole blood buffer base is the metabolic component and the CO2 tension the respiratory component of the acid-base balance of the blood. In these studies a primary increase or decrease in one variable was followed with a secondary increase or decrease in the other. When the secondary response was not sufficient to re-establish normal equilibrium between the two variables, a shift in pH occurred.
... The renal compensation was therefore small compared to the rapid sharing of the effects of the stimulus by the various "buffer" mechanisms of the body previously estimated in detail (1). Calculations based on the data of other workers (23,24) indicate that in more prolonged respiratory disturbances the major part of A HCOB-er may be compensated by cumulative urinary changes. ...
September 1952
The American Journal of Medicine