各種開腹手術이 腹水內 Amylase直의 변화에 미치는 영향
Changes of Amylase Content in the Paritoneal Fluid after the Certain Types of Abdominal Surgery
曺章煥, 朴基一, 李景植,
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曺章煥 ( )
연세대학교 의과대학 외과학교실
朴基一 ( )
연세대학교 의과대학 외과학교실
李景植 ( )
연세대학교 의과대학 외과학교실
KMID : 0371319740160100041
Abstract
Acute pancreatitis occuring as a postoperative phenomenon is a serious and highly lethal complication. Most commonly it follows biliary tract or gastric operations, but occationally it occurs after splenectoniy and in rare instance after operations in which there has been no possibility of direct injury to the pancreas interfence with its blood supply. The cause of pancreatitis is frequently unkaiown.
Although serum and urine amylase are important tools for evaluation. of pancreatic disorders, especially acute pancreatitis, difficulties are usually encountered in iuterpreteting acute abdominal pain in the immediate postoperative period. Significant elevation of serum amylase may be anticipated in the presence of postoperative pancreatitis, however, not necessarily.
The principal objective of this study is designed to follow changes of serum, urine and peritoneal fluid levels of amylase in the pre-and postoperative period of the thirty patients underwent abdominal surgery for various reasons at the Surgical Department of Yonsei Medical Center.
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