腹部手术患者血电解质观察

目的研究腹部手术患者血电解质的变化,并探讨其临床意义。方法对62例腹部手术者(观察组)手术前后血钾(K+)、钠(Na+)、氯(Cl-)、镁(Mg2+)、总钙(T-Ca)、尿素氮(BUN)、肌酐(Cr)进行检测,并与50名健康体检者(对照组)进行比较。结果观察组术前K+、Na+、Cl-、Mg2+、T-Ca、BUN、Cr与对照组比较均无显著性差异(P>0.05);观察组术后1~3 d K+、Na+低于对照组(P<0.05),并且显著低于术前(P<0.05),7 d时均恢复到术前水平(P>0.05),其他指标手术前后比较则无显著性差异(P>0.05)。结论腹部手术患者术后应早期补钾和钠。

Observation of serum electrolyte in patients with operation on abdominal region

Objective To research changes of serum electrolyte in patients with abdominal operation and to probe its clinical cignificance.Methods Serum potassium(K ),sodium(Na ),chlorine(Cl-),magnesium(Mg2 ),total calcium(T-Ca),blood urea nitrogen(BUN) and creatinine(Cr) in 62 patients with abdominal operation(observation group) and 50 healthy people(control group)were measured and compared.Results Before the operation,there was no significant difference on K ,Na ,Cl-,Mg2 ,T-Ca,BUN and Cr between the observation group and the control group(P>0.05).One to three days after the operation,there were lower K and Na in the observation group than those of the control group(P<0.05),and K and Na decreased obviously compared with those of the preoperative patients(P<0.05).K and Na reached the preoperative level on the seventh day(P>0.05).Other indexes showed no significant difference pre-and post-operation(P>0.05).Conclusion After taking abdominal operation,patients should be supplied with potassium and sodium as soon as possible.