Harju E
Department of Surgery, University of Oulu, Finland.
Z Exp Chir Transplant Kunstliche Organe. 1988;21(1):29-33.
The changes in serum sodium, potassium, chloride, calcium, and phosphorus concentrations during 48 hours post-laparotomy infusion of saline, 10 percent glucose alone, and in combination with two different amino acid solutions were investigated in the rabbit. Most of the changes occur 24-hours after the laparotomy. The changes of serum potassium concentration are different from those of chloride, sodium, calcium, and phosphorus. The quality of infusion does not change the direction of the post-laparotomy change of the serum chloride (increase) and calcium (decrease) concentration. The serum potassium concentration increases and phosphorus remains constant when saline is infused, whereas potassium remains constant and phosphorus decreases when the other solutions are given. The responses to the different infusions are most diversed in the case of sodium. The serum electrolyte concentrations remain at the level of the 24-hours post-laparotomy state also after the 48-hours infusion, with the exception the decrease of potassium during saline, increase of sodium during glucose and amino acid and increase of calcium during glucose infusion.
在兔身上研究了剖腹术后输注生理盐水、单纯10%葡萄糖以及与两种不同氨基酸溶液联合使用时血清钠、钾、氯、钙和磷浓度在48小时内的变化。大多数变化发生在剖腹术后24小时。血清钾浓度的变化与氯、钠、钙和磷的变化不同。输注质量不会改变剖腹术后血清氯（升高）和钙（降低）浓度变化的方向。输注生理盐水时血清钾浓度升高而磷保持不变，而给予其他溶液时钾保持不变而磷降低。对于钠而言，对不同输注的反应差异最大。除了输注生理盐水时钾降低、输注葡萄糖和氨基酸时钠升高以及输注葡萄糖时钙升高外，48小时输注后血清电解质浓度也保持在剖腹术后24小时的水平。
