摘要
目的 :探讨围手术期腹部外科病人血气和酸碱平衡、肠道菌群变化及临床意义。方法 :随机检测 10 0例腹部外科择期手术患者术前和术后血气分析。同时对术后发生腹泻的 13例患者行粪便菌群分析。结果 :手术后低血氧 2 7例 ,而胃癌根治、直肠癌根治、肝叶切除等大手术者均有不同程度酸碱失衡 ,且发生酸碱失衡者中 9例合并菌群失调。结论 :具有高危因素的腹部手术患者 ,术前及术后检测血气 ,监测肺功能及酸碱平衡 ,并积极诊治肠道菌群失调。
Objective:To investigate the changes of arterial blood gases and microflora disorder in patients before and after abdominal surgery Methods:100 randomly selected abdominal surgery patients were enrolled,of wfich arterial blood gases were measured prior to and after surgery.Results:Before surgery 27 cases,mainly aged people,occurred anoxia which were unconcerned in original diseases;19 cases occurred metabolic acidosis;13 cases occurred metabolic alkalosis.27 cases occurred anoxia post operation Among 13 patients with postoperative diarrhea,there were 9 patients with microflora disorder complicated with acid base imbalance.Conclusion:We should measure blood gases and electrolyte in aged patients ready to undergo abdominal surgery before and after operation and try best to diagnosis and treat with postoperative microflora disorders.
出处
《中国微生态学杂志》
CAS
CSCD
2004年第1期39-40,共2页
Chinese Journal of Microecology