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外科患者的胶体渗透压及其与血清蛋白和白蛋白测定的关系。

Colloid osmotic pressure in surgical patients and its relationship to serum protein and albumin estimations.

作者信息

Morton A P, Holling J

出版信息

Aust N Z J Surg. 1978 Aug;48(4):418-21. doi: 10.1111/j.1445-2197.1978.tb04890.x.

DOI:10.1111/j.1445-2197.1978.tb04890.x
PMID:282876
Abstract

A series of calculated colloid osmotic pressure (C.O.P.) results have been compared with concurrently performed total serum protein and serum albumin estimations. It is concluded that in most critically ill patients, serial estimations of total serum protein, which are very easy to perform using a hand refractometer or copper sulphate bottles, give a useful guide to the C.O.P. level. In a second series of patients, colloid osmotic pressure has been calculated before and after operation in a group of patients undergoing routine abdominal surgery, and significant falls in C.O.P. have been found to occur after operation. It is suggested that this may be a contributing factor in some of those patients who suffer postoperative respiratory complications.

摘要

已将一系列计算得出的胶体渗透压(C.O.P.)结果与同时进行的总血清蛋白和血清白蛋白测定结果进行了比较。得出的结论是,对于大多数重症患者,使用手持折射仪或硫酸铜瓶进行总血清蛋白的系列测定非常容易,可为胶体渗透压水平提供有用的指导。在第二组患者中,对一组接受常规腹部手术的患者在手术前后计算了胶体渗透压,发现术后胶体渗透压显著下降。有人认为,这可能是一些术后出现呼吸并发症患者的一个促成因素。

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