對18例行腹部急診手術(shù)和20例行腹部擇期手術(shù)患者手術(shù)前后血漿皮質(zhì)醇進(jìn)行了測定。結(jié)果表明：腹部擇期手術(shù)患者因手術(shù)本身的創(chuàng)傷，其血漿皮質(zhì)醇升高；而急診患者由于急腹癥的影響，術(shù)前血漿皮質(zhì)醇已升至一較高水平，術(shù)后并未進(jìn)一步升高。這種手術(shù)前后血漿皮質(zhì)醇的變化在擇期與急診手術(shù)患者中有顯著性差異。提示及時的手術(shù)治療可減輕急腹癥患者的全身應(yīng)激反應(yīng)。
引用本文： 包文,王欽銀,段永亮,崔曙. 腹部急診與擇期手術(shù)前后患者血漿皮質(zhì)醇的變化. 中國普外基礎(chǔ)與臨床雜志, 1998, 5(1): 26-27. doi: 復(fù)制
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- 2. Cross JS, Gruber DP, Gann D, et al. Hypertonic saline attenuates the hormonal response to injury. Ann Surg, 1989; 209∶684.