We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Surgical Research in the Communication Zone II. Enzyme Fluctuations in Wounded Combat Soldiers During the Convalescent Period

Teruo Matsumoto, MC; Steven R. Wyte, MC; Roger V. Moseley, MC; Gary M. Nemhauser, MC; John N. Henry, MC; Gene Aaby, MC
Arch Surg. 1969;99(4):537-541. doi:10.1001/archsurg.1969.01340160117028.
Text Size: A A A
Published online


The distribution of enzymes in tissue and cell structures is important in the clinical application of serum enzyme determinations. For example, sorbitol dehydrogenase (SDH) and fructose -1, 6-diphosphate aldolase occur only in liver, while creatine phosphokinase (CPK) appears in high concentration in striated muscle. Since almost one third of the body weight consists of the skeletal musculature, even small subclinical injuries to this large tissue mass will lead to changes in the serum enzyme pattern.1 The purpose of this study was to evaluate fluctuations in CPK, lactic dehydrogenase (LDH), and serum glutamic oxaloacetic transaminase (SGOT) enzymes in wounded patients evacuated from the Republic of Vietnam to Japan in order to evaluate the efficacy of enzyme values as a means of determining the ideal time for delayed primary closure.

Materials and Methods  A total of 205 patients were randomly selected for CPK determination from the general surgery, orthopedic and septic


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.