摘要
目的 :探讨普外患者术后发生低磷血症的临床相关因素。方法 :检测 10 1例普外患者术前及术后第 1、4、7天的血磷浓度 ,分析各种影响因素。结果 :年龄大于 5 5岁组术后第 1、4天的血磷浓度较小于5 5岁组为低 (P <0 .0 1)。手术持续时间大于 3h组术后第 1、4天的血磷浓度较少于 3h组低 (P<0 .0 5 )。ApacheⅡ评分大于 4分的患者术后第 4、7天的血磷浓度均低于小于 4分者 (P <0 .0 5 )。术中失血量大于 30 0ml组较小于 30 0ml组术后第 1天的血磷浓度低 (P <0 .0 5 )。而性别、手术时机等因素对血磷浓度的影响无统计学差异。结论 :普外患者术后低磷血症的发生与年龄、手术持续时间、术中失血量及病情危重程度有关。
Objective:To study the correlative clinical factors that causing hypophosphatemia in postoperative patients of general surgery.Methods:Serum phosphate levels of 101 patients of general surgery were monitored at the preoperative day,and the first,forth and seventh postoperative day.Influence factors of the serum phosphate levels were analysed.Results:The serum phosphate levels in patients elder than 55 years were lower than those younger than 55 years on the first and forth postoperative day(P<0.01).The phosphate levels in cases with operative duration more than 3 hours were lower than those less than 3 hours on the first and forth postoperative day(P<0.05).The serum phosphate levels in patients with Apache Ⅱ scores more than 4 were lower than those less than 4 on the forth and seventh postoperative day(P<0.05).The phosphate levels in cases with intraoperative blood loss more than 300ml were lower than those less than 300ml on the first postoperative day(P<0.05).Conclusion:The occurrence of hypophosphatemia in postoperative patients of general surgery correlates with ages,operative duration,intraoperative blood loss and severity of disease.
出处
《中国现代普通外科进展》
CAS
2002年第1期37-39,共3页
Chinese Journal of Current Advances in General Surgery
关键词
低磷血症
手术后期间
相互影响分析
Hypophosphatemia
Postoperative period
Transactional analysis
