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[选择性近端迷走神经切断术后即刻的肠内吸收]

[Enteral resorption in the immediate postoperative phase following selective proximal vagotomy].

作者信息

Weiner R, Hartig W, Schmoz G, Weiner C, Laue R

出版信息

Z Exp Chir. 1981;14(5):265-72.

PMID:7336803
Abstract

The postoperative absorption of the small intestine after selective proximal vagotomy was found out by means of the modified D-xylose absorption test in 23 patients on operating day, and on 1st, 5th, 8th, 9th and, 10th postoperative day. The constant of the adsorption speed was reduced on the operating day and decreased further to the 4th postoperative day. Afterwards the preoperative value was obtained approximately. The temporal state of the relative maximum of the curve of serum concentration (the moment tm) occurred in the same time interval. The tm-value obtained the preoperative value approximately. The dimensions of the absorption in the small intestine was reduced by 36% on the operating day, by 20,5% on the 1st postoperative day, and by 10% on the 4th postoperative day on the arithmetical average. The influence of the gastric emptying after SPV and of gastro-intestinal hormones on the process of absorption was discussed.

摘要

通过改良的D-木糖吸收试验,对23例患者在手术日及术后第1、5、8、9和10天测定了选择性近端迷走神经切断术后小肠的吸收情况。吸附速度常数在手术日降低,并在术后第4天进一步下降。之后大致恢复到术前值。血清浓度曲线相对最大值的时间状态(时刻tm)出现在相同的时间间隔内。tm值大致恢复到术前值。小肠吸收量在手术日算术平均降低36%,术后第1天降低20.5%,术后第4天降低10%。讨论了选择性近端迷走神经切断术后胃排空及胃肠激素对吸收过程的影响。

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