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病态肥胖患者手术前后的肝功能及血清电解质浓度(作者译)

[Liverfunction and serum concentration of electrolytes in patients operated for morbid obesity (author's transl)].

作者信息

Tuszewski M, Woszczyk J, Rushzkowska J

出版信息

Zentralbl Chir. 1977;102(6):351-6.

PMID:868331
Abstract

50 patients with morbid obesity underwent a Jejuno-Ileostomy. The liver function was tested before operation and postoperatively up to 24 months. Simultaneously the concentration of potassium, natrium, calcium, magnesium and chloride was examined. The concentration of bilirubin did not show any important changes. Thymol turbidity was within the limit. 3 months after the operation an increase of the activity of SGPT and SGOT was noted, as well as the increase of BSP retention. 6 months after the operation a decrease of concentration of potassium and calcium in serum was observed. 3 patients developed tetany. 12 months after the operation no changes in the concentrations of ions in the blood serum have been noted and the tests of the liver showed an improved function compared with the pre-operative period.

摘要

50例病态肥胖患者接受了空肠回肠吻合术。术前及术后长达24个月对肝功能进行了检测。同时检测了钾、钠、钙、镁和氯的浓度。胆红素浓度未显示出任何重要变化。麝香草酚浊度在正常范围内。术后3个月,观察到谷丙转氨酶(SGPT)和谷草转氨酶(SGOT)活性增加,以及磺溴酞钠(BSP)潴留增加。术后6个月,观察到血清中钾和钙浓度降低。3例患者发生手足抽搐。术后12个月,血清离子浓度未发现变化,肝脏检查显示与术前相比功能有所改善。

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