對18例行腹部急診手術和20例行腹部擇期手術患者手術前后血漿皮質醇進行了測定。結果表明:腹部擇期手術患者因手術本身的創傷,其血漿皮質醇升高;而急診患者由于急腹癥的影響,術前血漿皮質醇已升至一較高水平,術后并未進一步升高。這種手術前后血漿皮質醇的變化在擇期與急診手術患者中有顯著性差異。提示及時的手術治療可減輕急腹癥患者的全身應激反應。
                                 
                               
                                     
                                  
                       
                           引用本文:
                           包文,王欽銀,段永亮,崔曙. 腹部急診與擇期手術前后患者血漿皮質醇的變化. 中國普外基礎與臨床雜志, 1998, 5(1): 26-27. doi: 
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				                                                                | 1. | Demaria EJ, Lilly MP, Gann DS. Potentiated hormonal responses in a model of traumatic injury. J Surg Res, 1987; 43∶45. | 
				                                                        
				                                                            
				                                                                | 2. | Cross JS, Gruber DP, Gann D, et al. Hypertonic saline attenuates the hormonal response to injury. Ann Surg, 1989; 209∶684. | 
				                                                        
				                                                    
				                                                 
				                                             
				                                            
                             
                            
                                
                               		 
		                                
		                                    - 1.   Demaria EJ, Lilly MP, Gann DS. Potentiated hormonal responses in a model of traumatic injury. J Surg Res, 1987; 43∶45.		                                    
		                                    
- 2.   Cross JS, Gruber DP, Gann D, et al. Hypertonic saline attenuates the hormonal response to injury. Ann Surg, 1989; 209∶684.