Dvorák V, Novotný A
Zentralbl Gynakol. 1976;98(19):1183-90.
After operations of benign gynaecological diseases we recorded changes of the lipid metabolism which were manifested by the following deviations of serum cholesterol and non-esterified and esterified fatty acid concentrations: 1. Total serum cholesterol levels declined markedly after operation either throughout the six-day period after operation, or they began to rise starting on the third day. 2. The esterified fatty acid concentrations rose after a brief drop, usually already from the first day. 3. The non-esterified fatty acid concentrations rose after operation. The peak was as a rule reached on the third day after operation. Subsequently they had a declining trend. 4. The preoperative values of the above lipids were slightly altered (we observed higher cholesterol and esterified fatty acid concentrations). This change was at least partly explained as the consequence of the preoperative stress. In our opinion is it important to attempt to restrict sudden changes of the lipid metabolism, as these changes may become the basis of various postoperative complications.
在良性妇科疾病手术后，我们记录了脂质代谢的变化，这些变化表现为血清胆固醇以及非酯化脂肪酸和酯化脂肪酸浓度的以下偏差：1. 术后血清总胆固醇水平在术后整个六天期间显著下降，或者从第三天开始上升。2. 酯化脂肪酸浓度在短暂下降后上升，通常从第一天就开始。3. 非酯化脂肪酸浓度术后上升。通常在术后第三天达到峰值。随后呈下降趋势。4. 上述脂质的术前值略有改变（我们观察到胆固醇和酯化脂肪酸浓度较高）。这种变化至少部分可解释为术前应激的结果。我们认为，试图限制脂质代谢的突然变化很重要，因为这些变化可能成为各种术后并发症的基础。
