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本文结果表明,氧化还原耐受指数(redoxtoleranceindex;RTI)>0.5者25例,<0.5者23例,前者术后酮体比值(ketonebodyratio;KBR)>0.7者19例(76.0%),0.4~0.7者6例(24.0%),无1例<0.4者,而后者的KBR分别为6例(26.0%),13例(56.5%)与4例(17.5%),在术后一月内死亡者,前者仅1例,后者为4例。另外,术中KBR监测显示,当阻断肝血流与切肝时,其值显著下降,血流恢复后则迅速上升至0.7以上。提示,RTI是评价肝癌患者肝脏能量储备、术前筛选与预测预后的有用指标。
The results of this study showed that redox tolerance index (RTI) was >0.5 in 25 patients and <0.5 in 23 patients. The former had a ratio of ketone body ratio (KBR)>0.7 to 19 cases (76 cases). (%), 0.4 to 0.7 in 6 (24.0%), none in <0.4, while the latter had KBR in 6 (26.0%) and 13 (56). .5%) and 4 patients (17.5%) died within 1 month after operation. The former was only 1 case and the latter was 4 cases. In addition, intraoperative KBR monitoring showed that when the liver blood flow was blocked and the liver was cut, its value decreased significantly, and blood flow quickly rose to more than 0.7 after recovery. It is suggested that RTI is a useful index to evaluate hepatic energy reserve, preoperative screening and prognosis of liver cancer patients.