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[术后早期血液及腹腔分泌物中的免疫球蛋白]

[Immunoglobulin in the blood and peritoneal secretions during the early postoperative phase].

作者信息

Eckert P, Naber M, Barbey-Schneider M

出版信息

Chirurg. 1981 Jun;52(6):403-8.

PMID:6454547
Abstract

After abdominal surgery the immunoglobulins in the peritoneal fluid and in the serum were measured in the early postoperative period in 34 patients with benign and malignant lesions. In comparison with the preoperative value there was postoperatively a serum decrease of 30% of the immunoglobulins. In the serum there was no difference in the cancer and no cancer group. An important difference was noted in the concentration of the peritoneal cavity fluid values. After operation in the biliary tract the peritoneal immunoglobulins fell to 50% of the serum level but improved rapidly after the patient recovered. After cancer surgery on the colon, the IG level fell without any later improvement. Purulent abdominal infections led to levels of the IG in the peritoneal fluid that were almost impossible to measure.

摘要

对34例患有良性和恶性病变的患者在腹部手术后的早期进行了腹膜液和血清中免疫球蛋白的检测。与术前值相比,术后血清中免疫球蛋白下降了30%。癌症组和非癌症组的血清中没有差异。腹膜腔液值的浓度存在重要差异。胆道手术后,腹膜免疫球蛋白降至血清水平的50%,但患者恢复后迅速改善。结肠癌手术后,免疫球蛋白水平下降且无后期改善。化脓性腹部感染导致腹膜液中免疫球蛋白水平几乎无法测量。

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