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胃切除术后血红蛋白变化过程与感染性并发症

[Postoperative hemoglobin course and septic complications following stomach resection].

作者信息

Jaeger K, Holtz J, Horch R, Schobert M

出版信息

Zentralbl Chir. 1987;112(5):312-9.

PMID:3591049
Abstract

Preoperative and postoperative haemoglobin curves were studied in male patients, following two-third gastrectomy. A group with early septic complications was compared to one without. The groups were comparable for age distribution and pathological patterns (ulcer/gastric stenosis and carcinoma). Preoperative haemoglobin mean values were a the lower normal limit and dropped to 10.8 g/dl in the group with complications on the fifth day from surgery, but stayed constant at 12 g/dl in the control group, as of the second postoperative day. Haemoglobin dropped to mean values around 11 g/dl immediately after surgery in patients with severe complications, such as suture dehiscence. All groups deviated clearly from normal Hb.

摘要

对行三分之二胃切除术后的男性患者术前和术后的血红蛋白曲线进行了研究。将一组出现早期脓毒症并发症的患者与一组未出现并发症的患者进行了比较。两组在年龄分布和病理类型(溃疡/胃狭窄和癌)方面具有可比性。术前血红蛋白平均值处于较低正常范围,术后第5天,出现并发症的组降至10.8 g/dl,但对照组自术后第二天起保持在12 g/dl不变。对于出现严重并发症(如缝线裂开)的患者,术后血红蛋白立即降至11 g/dl左右的平均值。所有组的血红蛋白水平均明显偏离正常范围。

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