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[大肠癌患者氮平衡紊乱的原因]

[Causes of a nitrogen balance disorder in patients with cancer of the large intestine].

作者信息

Fedotov I L, Gegenava A P, Buttaev R M

出版信息

Vopr Onkol. 1980;26(10):52-5.

PMID:7434679
Abstract

Assays were made of blood serum proteins, final nitrogen products of urine and faeces in 115 patients with colonic cancer and in 19 patients with polyposis. The nitrogen balance was studied in 59 rectal cancer patients prior to and after the operation. In a group of patients with the malignant tumor the endogenic protein hyperexcretion was found as well as a reduced serum proteins level and an associated dependence of hypoproteinemia on the degree of their loss with faeces. A negative nitrogen balance was noted in patients with cancer. Surgical intervention, purulent infection may aggravate this condition. The radical treatment of colonic cancer results in a gradual normalization of nitrogen-protein metabolism.

摘要

对115例结肠癌患者和19例息肉病患者进行了血清蛋白、尿液和粪便终末含氮产物的检测。对59例直肠癌患者在手术前后进行了氮平衡研究。在恶性肿瘤患者组中,发现内源性蛋白质排泄过多,血清蛋白水平降低,且低蛋白血症与粪便中蛋白质丢失程度相关。癌症患者出现负氮平衡。手术干预、化脓性感染可能会加重这种情况。结肠癌的根治性治疗会使氮-蛋白质代谢逐渐恢复正常。

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