Zhou Jing, Pi Hongying, Zheng Yingying
General Surgery, Chinese People's Liberation Army General Hospital, Beijing, People's Republic of China.
Nursing Department, Chinese People's Liberation Army General Hospital, Beijing, People's Republic of China.
Clin Interv Aging. 2015 Jan 28;10:367-70. doi: 10.2147/CIA.S76512. eCollection 2015.
Abdominal cavity drainage fluid can be used as an early diagnostic tool of postoperative complications, and observing its characteristics can help us to judge and handle postoperative complications. There is no accurate standard reference range on its characteristics after surgeries for gastrointestinal or retroperitoneal tumors. This research attempted to analyze its characteristics in Chinese patients without postoperative complications after surgery for gastrointestinal or retroperitoneal tumors, and to offer an experimental basis for establishing a reliable standard reference range for abdominal cavity drainage fluid used to detect postoperative complications.
This study enrolled 262 Chinese patients without postoperative complications after surgery for gastrointestinal or retroperitoneal tumors.
All patients had a median age (range) of 55 (19-72) years, and 150 (57.3%) were men. There were 93 (35.5%), 115 (43.9%), and 54 (20.6%) patients who underwent surgery for upper gastrointestinal tumors, lower gastrointestinal tumors, and retroperitoneal tumors, respectively. The total amount, density, and pH of the abdominal cavity drainage fluid were 204 (0-6,195) mL, 1.032 (1.011-1.047) kg/m(3), and pH 7.0 (5.0-7.5), respectively. The total numbers of cells and white blood cells were 1.3×10(11) (5.5×10(8)-6.2×10(12))/L and 3.7×10(9) (1.0×10(7)-5.0×10(11))/L, respectively. The levels of sugar and protein were 3 (0-37) mmol/L and 39 (1-272) g/L. The total amount of abdominal cavity drainage fluid, the total number of cells, the total number of white blood cells, the number of multinucleated cells, the number of monocytes, and the levels of sugar were statistically significantly different between the three groups (P<0.05 for all).
This study described the characteristics of abdominal cavity drainage fluid in Chinese patients without postoperative complications after surgery for gastrointestinal or retroperitoneal tumors, and provided an experimental basis for establishing a reliable standard reference range for abdominal cavity drainage fluid for screening for postoperative complications.
腹腔引流液可作为术后并发症的早期诊断工具，观察其特征有助于判断和处理术后并发症。对于胃肠道或腹膜后肿瘤手术后腹腔引流液的特征，目前尚无准确的标准参考范围。本研究试图分析胃肠道或腹膜后肿瘤手术后无术后并发症的中国患者腹腔引流液的特征，为建立用于检测术后并发症的腹腔引流液可靠标准参考范围提供实验依据。
本研究纳入了262例胃肠道或腹膜后肿瘤手术后无术后并发症的中国患者。
所有患者的中位年龄（范围）为55岁（19 - 72岁），男性150例（57.3%）。分别有93例（35.5%）、115例（43.9%）和54例（20.6%）患者接受了上消化道肿瘤、下消化道肿瘤和腹膜后肿瘤手术。腹腔引流液的总量、密度和pH值分别为204（0 - 6195）mL、1.032（1.011 - 1.047）kg/m³和pH 7.0（5.0 - 7.5）。细胞总数和白细胞总数分别为1.3×10¹¹（5.5×10⁸ - 6.2×10¹²）/L和3.7×10⁹（1.0×10⁷ - 5.0×10¹¹）/L。糖和蛋白水平分别为3（0 - 37）mmol/L和39（1 - 272）g/L。三组患者的腹腔引流液总量、细胞总数、白细胞总数、多核细胞数、单核细胞数和糖水平差异有统计学意义（均P<0.05）。
本研究描述了胃肠道或腹膜后肿瘤手术后无术后并发症的中国患者腹腔引流液的特征，为建立用于筛查术后并发症的腹腔引流液可靠标准参考范围提供了实验依据。
