中华小儿外科杂志
中華小兒外科雜誌
중화소인외과잡지
CHINESE JOURNAL OF PEDIATRIC SURGERY
1992年
2期
83-85
,共3页
巨结肠%先天性%碱中毒
巨結腸%先天性%堿中毒
거결장%선천성%감중독
Megacolon%Congenital%Alkalosis
对35例小儿腹部大手术巨结肠根治术患儿,手术前后体内水,电解质及酸碱内环境的改变进行了动态观察.结果发现:大手术患儿术后血钾明显下降,术后1、3天碱中毒的发生率分别为42.9%,28.6%,说明碱中毒与低血钾互为因果关系是巨结肠根治术后最常见的电解质及酸碱平衡紊乱,术后应及时补充钾及慎用碱性药物.
對35例小兒腹部大手術巨結腸根治術患兒,手術前後體內水,電解質及痠堿內環境的改變進行瞭動態觀察.結果髮現:大手術患兒術後血鉀明顯下降,術後1、3天堿中毒的髮生率分彆為42.9%,28.6%,說明堿中毒與低血鉀互為因果關繫是巨結腸根治術後最常見的電解質及痠堿平衡紊亂,術後應及時補充鉀及慎用堿性藥物.
대35례소인복부대수술거결장근치술환인,수술전후체내수,전해질급산감내배경적개변진행료동태관찰.결과발현:대수술환인술후혈갑명현하강,술후1、3천감중독적발생솔분별위42.9%,28.6%,설명감중독여저혈갑호위인과관계시거결장근치술후최상견적전해질급산감평형문란,술후응급시보충갑급신용감성약물.
The chznges of the fluid,electrolyte and acidbase balance in blood were observed in 35 postoperative children with Hischsprung's disease.The results showed:hypokalemia appeared on the first and the third day but recovered to normal potassium lave1 on the 7th day;the incidence of alkalosis is 42.9% and 28.6% on the first and the 3rd day respectively;incidence of alkalosis in hypokalemic children was higher than that in children with normal potassium level.The authors believe that there would be a correlation between hypokalemia and alkalosis;hypokalemic alkalosis is the most common acid-base pattern in the postoperative children with Hischsprung's disease.The authors suggest:(1) blood gas and electrolyte should be monitored;(2) drugs that may cause alkalosis should be avoided;(3) if there is too much naso-gasteric drainage,potassium level should be checked up.