[Stress and patients undergoing surgery].

Abstract

Stressory reactions in surgical patients are studied as the main adaptative reaction occurring in loads both in physiological limits and graded measure, where the reaction itself appears to action as a pathological nuisance. The human stressors are reviewed as well as up-to-date data on the pathophysiology, diagnostics and prevention of stressory reaction including the therapeutical measures in order to prevent the development of organ damages with graded anxious reaction. Of special attention are interrelations of neurohumoral and immune reactions in syndromes of the so-called acute phase holoorganic reaction in the response of the organism on the graded aggression. In addition, the multifactorial stress is scrutinised in detail as the patient goes through the diagnosis and treatment with both its objectivation and minimalization. In conclusion, the modifications are mentioned of the course of stressory reaction in endocrynopathies as well as risks and measures on how to prevent such surprising and harmful interactions.