Cherkasov V A, Palatova L F, Popov A V, Gushchenskiĭ L B, Freĭnd G G
Khirurgiia (Mosk). 2003(1):27-30.
The electric conductivity of the hepatic bile received during and 24 hours after surgery from the drainage introduced into the common hepatic duct was studied in 94 patients with cholelithiasis. It is demonstrated that conductivity increases in cholestasis, inflammatory process in the biliary tract and depends on the hepatic morphofunctional status. The specific electric conductivity of intraoperative bile that is more than 192 S/m is considered to be criteria for the diagnosis of cholangitis. The electric conductivity of urine before and in first 4 days after surgery decreases in inflammation of the biliary tract and depends on the degree of concomitant renal dysfunction and electrolyte disturbances. There was a decrease in the conductivity of bile and urine in all studied groups. Detection of biophysical parameters of biological fluids may objectively control the postoperative period and correct treatment policy.
对94例胆石症患者术中经肝总管引流及术后24小时所采集的肝胆汁的电导率进行了研究。结果表明，胆汁电导率在胆汁淤积、胆道炎症时升高，且取决于肝脏的形态功能状态。术中胆汁的比电导率大于192 S/m被认为是诊断胆管炎的标准。术后前4天，胆道炎症时尿液电导率下降，且取决于并发肾功能不全和电解质紊乱的程度。所有研究组的胆汁和尿液电导率均下降。检测生物体液的生物物理参数可客观地监测术后恢复情况并调整治疗方案。
