The clinical study of prevalence,prevention and treatment of hypophosphatemia in postoperative patients of general surgery.
- VernacularTitle:普外科病人术后低磷血症发生和防治的临床研究
- Author:
Ying LIN
;
Shenming WANG
;
Xueling HUANG
- Publication Type:Journal Article
- From:
Chinese Journal of Practical Surgery
2001;21(5):290-291
- CountryChina
- Language:Chinese
-
Abstract:
Objective In order to explore the prevalence of hypophosphatemia in postoperative patients of general surgery,as well as the time and dosage of phosphate replacement and its effects.Methods To serum phosphate levels of 45 patients with phosphate replacement begun on the second postoperative day and 45 without replacement were monitored at the preoperative day,and the first,third,fifth and seventh postoperative day.Results The incidence of hypophosphatemia was 91.1%(41/45) in cases without phosphate replacement.While it was 57.8%(26/45) in those with replacement.The serum phosphate concentrations in cases with phosphate replacement were higher than those without replacement on the third(P<0.001),fifth(P<0.05) and seventh(P<0.01) postoperative day.The Apache Ⅱ scores in cases with phosphate replacement decreased on the third postoperative days compared with those on the first day(P<0.001).Conclusion The postoperative replacement of phosplates can avert the occurrence of hypophosphatemia and improve the Apache Ⅱ score.
