[选择性迷走神经近端切开术术后即刻肠内吸收]。

R Weiner, W Hartig, G Schmoz, C Weiner, R Laue
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引用次数: 0

摘要

采用改良d -木糖吸收试验测定23例患者手术当日及术后第1、5、8、9、10天小肠选择性近端迷走神经切断术后小肠吸收情况。吸附速度常数在手术当天降低,并在术后第4天进一步降低。然后得到术前值的近似。血清浓度曲线相对最大值的时间状态(时刻tm)发生在同一时间间隔内。tm值近似于术前值。小肠吸收尺寸在手术当天减少了36%,术后第一天减少了20.5%,术后第4天减少了10%。讨论了SPV术后胃排空及胃肠道激素对吸收过程的影响。
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[Enteral resorption in the immediate postoperative phase following selective proximal vagotomy].

The postoperative absorption of the small intestine after selective proximal vagotomy was found out by means of the modified D-xylose absorption test in 23 patients on operating day, and on 1st, 5th, 8th, 9th and, 10th postoperative day. The constant of the adsorption speed was reduced on the operating day and decreased further to the 4th postoperative day. Afterwards the preoperative value was obtained approximately. The temporal state of the relative maximum of the curve of serum concentration (the moment tm) occurred in the same time interval. The tm-value obtained the preoperative value approximately. The dimensions of the absorption in the small intestine was reduced by 36% on the operating day, by 20,5% on the 1st postoperative day, and by 10% on the 4th postoperative day on the arithmetical average. The influence of the gastric emptying after SPV and of gastro-intestinal hormones on the process of absorption was discussed.

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