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对18例行腹部急诊手术和20例行腹部择期手术患者手术前后血浆皮质醇进行了测定。结果表明:腹部择期手术患者因手术本身的创伤,其血浆皮质醇升高;而急诊患者由于急腹症的影响,术前血浆皮质醇已升至一较高水平,术后并未进一步升高。这种手术前后血浆皮质醇的变化在择期与急诊手术患者中有显著性差异。提示及时的手术治疗可减轻急腹症患者的全身应激反应
Plasma cortisol levels were measured in 18 patients undergoing emergency abdominal surgery and 20 patients undergoing elective abdominal surgery. The results showed that patients with elective abdominal surgery had increased plasma cortisol due to the trauma of the operation itself. However, due to acute abdomen disease, preoperative plasma cortisol had risen to a higher level and did not increase further after operation . This change in plasma cortisol before and after surgery in elective and emergency surgery patients were significantly different. Prompt prompt surgical treatment can reduce systemic stress response in patients with acute abdomen