围手术期肾上腺、胰岛、甲状腺功能变化的临床研究

CLINICAL STUDY ON FUNCTION CHANGES OF ADRENAL, PANCREAS AND THYROID DURING PERIOPERATIVE

  • 摘要: 非体外循环大手术成年患者40例,分普鲁卡因静脉复合麻醉和连续性硬膜外麻醉两组(n=20),全面监测自术前24h至术后48h期间血容量、血浆醛固酮、葡萄糖、皮质醇、胰岛素、总T_3(T T_3),总T_4(T T_4),反式T_3(r T_3),甲状腺球蛋白抗体(ATG)、微粒体抗体(MCA)。讨论了测值变化机制及其临床意义。

     

    Abstract: Forty adult patients undergoing non-cardiac major surgery were divided into 2 groups. Group A (n=20) was anesthetized by balanced intravenous procaine anesthesia and guoup B(n=20) by epidural block. Blood Volume, Cortisol, aldosterone, Glucose, Insulin, TT_3 TT_4, rT_3, ATG and MCA levels in plasma were measured from 24 hours before operation to 48 hours after operation. The mechanism of these changes and clinical significances was discussed.

     

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