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腹部急诊与择期手术前后患者血浆皮质醇的变化 被引量:1

COMPARISON ABOUT THE CHANGE OF PLASMA CORTISOL IN PREOPERATIVE AND POSTOPERATIVE PERIOD BETWEEN ABDOMINAL EMERGENCY PATIENTS AND PLANNED OPERATION PATIENTS
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摘要 对18例行腹部急诊手术和20例行腹部择期手术患者手术前后血浆皮质醇进行了测定。结果表明:腹部择期手术患者因手术本身的创伤,其血浆皮质醇升高;而急诊患者由于急腹症的影响,术前血浆皮质醇已升至一较高水平,术后并未进一步升高。这种手术前后血浆皮质醇的变化在择期与急诊手术患者中有显著性差异。 Plasma cortisols in 18 abdominal emergency patients and 20 planned operation patients were examined. The result showed that cortisols in planned operation patients were increased after their operations. On the other hand, plasma cortisols in emergency patients were higher in preoperative period than that in the postoperative period. There were no furher increase after operations. The changes of plasma cortisols between two kinds of patients were very different. This means that stress reactions in the patient with acute abdomen can be reduced by early operations.
出处 《中国普外基础与临床杂志》 CAS 1998年第1期26-27,共2页 Chinese Journal of Bases and Clinics In General Surgery
关键词 皮质醇 腹部疾病 外科手术 Abdomen Operation Cortisol
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  • 1Demaria EJ,Lilly MP,Gann DS.Potentiated hormonal responses in a model of traumatic injury.J Surg Res,1987;43:45.
  • 2Cross JS,Gruber DP,Gann D,et al.Hypertonic saline attenuates the hormonal response to injury.Ann Surg,1989;209:684.

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