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[胸外科手术后胸腔内渗出液的某些特性]

[Certain properties of the extravasate effused into pleural cavity after thoracic surgery].

作者信息

Ablitsov N P

出版信息

Vestn Khir Im I I Grek. 1976 Jun;116(6):25-8.

PMID:969146
Abstract

Data on morphological and biochemical properties of the postoperative extravasate are reported in 102 patients in different terms postoperatively. There is a reduced number of erythrocytes, amount of hemoglobin and thrombocytes in the extravasate. The number of leucocytes in the latter corresponds to their amount in peripheral blood. Free hemoglobin ranged from 6 to 125 mg%, and its concentration depends on traumatism and duration of surgery. There is no fibrinogen in the extravasate and a decreased fibrinolytic activity. Bacterial contamination of the extravasate is dependent on the character of a surgical procedure. The extravasate sterility is supported by its apyrogenic and nontoxic action on rabbits and mice. Determination of the amount of leucocytes, sugar, alpha-2 and beta golbulins in the extravasate 18 hours following the operation is of a diagnostic value for early recognition of inflammation in the pleural cavity.

摘要

报告了102例患者术后不同时期渗出物的形态学和生化特性数据。渗出物中红细胞、血红蛋白和血小板数量减少。渗出物中的白细胞数量与外周血中的数量相当。游离血红蛋白范围为6至125mg%,其浓度取决于创伤程度和手术持续时间。渗出物中无纤维蛋白原,纤溶活性降低。渗出物的细菌污染取决于外科手术的性质。渗出物对家兔和小鼠无热原性和无毒作用,证明其无菌。术后18小时测定渗出物中白细胞、糖、α-2和β球蛋白的含量对早期识别胸腔炎症具有诊断价值。

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