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剖腹术后9天内患者门静脉血的压力、血气、pH值、乳酸和丙酮酸浓度(作者译)

[Pressures, blood gases, pH, lactate and pyruvate concentrations in the portal venous blood in patients after laparotomy during the first 9 days (author's transl)].

作者信息

Eisele R, Dissmann W, Nasseri M, Thimme W

出版信息

Res Exp Med (Berl). 1975 Dec 11;166(2):131-45. doi: 10.1007/BF01851180.

Abstract

In 24 patients (16 women, 8 men, mean age 60 years), who underwent abdominal operations and who had a uncomplicated postoperative course, a teflon-tube was inserted into the portal vein at the end of laparotomy and remained there for maximal 9 days. The mean values of the portal venous pressure as well as of the portal-central venous pressure gradient are unchanged during the period of all 9 days and are between 7,4 and 7,9 mmHg, between 5,6 and 6,9 mmHg respectively. The arterio-portal venous 0(2)-content difference shows in the mean no fluctuations and is about 2 Vol.%. On the first postoperative day the lactic and pyruvic acid concentrations in the artery and portal vein are moderately, but significantly elevated and decrease to normal values until day 7. - 9.

摘要

24例患者(16例女性,8例男性,平均年龄60岁)接受了腹部手术,术后恢复顺利。在剖腹手术结束时,将一根聚四氟乙烯管插入门静脉,留置时间最长为9天。在这9天期间,门静脉压力以及门静脉与中心静脉压力梯度的平均值均无变化,分别在7.4至7.9 mmHg以及5.6至6.9 mmHg之间。动-门静脉氧含量差平均无波动,约为2体积%。术后第一天,动脉和门静脉中的乳酸和丙酮酸浓度适度但显著升高,并在第7至9天降至正常值。

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