Shulutko A M, El'-Saud A Kh
Klin Med (Mosk). 1991 Feb;69(2):80-1.
The study of 226 patients with acute calculous cholecystitis provided arguments in favour of I. V. Davydovsky ideas on pyoresorptive fever: there was suppuration, resorption, protein loss. Anthropometric parameters remained stable in the presence of hypoalbuminemia, hypovolemia. Hypoproteinemia is attributed to stress evident from high cortisol level in the plasma from hospitalized patients. These shifts in nutritional status are unfavorable for forthcoming surgery. Transcutaneous transhepatic puncture and laparoscopy of the gall bladder are able to correct unwanted effects and prepare the patients for radical surgery.
对226例急性结石性胆囊炎患者的研究为I. V. 达维多夫斯基关于吸收热的观点提供了论据：存在化脓、吸收、蛋白质丢失。在低白蛋白血症、低血容量的情况下，人体测量参数保持稳定。低蛋白血症归因于住院患者血浆中高皮质醇水平所显示的应激。营养状况的这些变化对即将进行的手术不利。经皮经肝穿刺和胆囊腹腔镜检查能够纠正不良影响并使患者为根治性手术做好准备。
