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肝硬化患者腹水与体循环及门静脉血的相关性研究

Study of ascitic fluid in relation to systemic and portal venous blood in hepatic cirrhosis.

作者信息

Mukherjee N, Shaw G, Ponda S, Ukil R, Chakrabarty B, Biswas T K, Lahiri S

机构信息

Department of Medicine, Calcutta National Medical College.

出版信息

J Indian Med Assoc. 1991 Jul;89(7):203-5.

PMID:1940416
Abstract

Twenty uncomplicated cases of cirrhosis of liver, proved by liver biopsy, and free from other systemic diseases were studied. Glucose (pre- and postprandial) and electrolytes (Na+, K+, Cl-) values were compared to those of systemic and portal venous blood. Chloride level in ascitic fluid was found to be significantly high in cirrhosis, as compared to portal and systemic venous blood. Sodium and glucose levels were similar in ascitic fluid and portal venous blood except in two cases complicated with tuberculous peritonitis, where pre- and postprandial glucose levels were considerably low. In 55% cases, there was impaired glucose tolerance, as measured by pre- and postprandial glucose levels in systemic venous blood.

摘要

研究了经肝活检证实且无其他全身性疾病的20例单纯性肝硬化病例。将(餐前和餐后)血糖及电解质(Na⁺、K⁺、Cl⁻)值与体循环和门静脉血的值进行比较。结果发现,与门静脉血和体循环静脉血相比,肝硬化患者腹水中的氯离子水平显著升高。除2例合并结核性腹膜炎的病例餐前和餐后血糖水平显著降低外,腹水和门静脉血中的钠和葡萄糖水平相似。通过体循环静脉血中的餐前和餐后血糖水平测量发现,55%的病例存在糖耐量受损。

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