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[甲状腺毒症中容量紊乱的术前纠正]

[Preoperative correction of volemic disorders in thyrotoxicosis].

作者信息

Lukomskiĭ G I, Ivanova N A, Krivenko N G

出版信息

Vestn Khir Im I I Grek. 1976 Jan;116(1):20-5.

PMID:1020183
Abstract

The investigations conducted by the authors enabled them to pinpoint further the complex of symptoms determining a phase character of volemic disturbances in thyrotoxicosis. The phases somewhat reveal the volemic substrate of thyrotoxicosis, allowing an aimed management of some stages of the preoperative preparation. The latter is conventionally divided according to Sh. Milk into three periods: initial, intermediate and final. The main aim of the preoperative correction is to normalize hydration correlations, that is likely to be gained by excreting excessive sodium and replenishment of potassium deficit.

摘要

作者所进行的研究使他们能够进一步明确决定甲状腺毒症血容量紊乱阶段性特征的症状复合体。这些阶段在一定程度上揭示了甲状腺毒症的血容量基础,有助于对术前准备的某些阶段进行有针对性的处理。传统上,根据施·米尔克的方法,术前准备分为三个时期:初期、中期和末期。术前纠正的主要目的是使水合关系正常化,这可能通过排出过多的钠和补充钾缺乏来实现。

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