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Study in Values of AKBR as an indicator of postoperative risk in patient with PHCC

Qian Ye Ben; Wang Chen You; Zhang Zong Yao(The Department of Greneral Surgery,The FirstAffiliated Hospital AnHui Medical Uniuersity 230022)  
The study measured AKBR. PT. SGPT. DSB and TSB at preoperative and postoperative 1 st. 、3rd、5th and 7th day in 32 cases with primary hepatic cellular carcinoma and 7 cases with chroic cholecystitis. The results showed:① When AKBR≥0. 7,the patients tolerated their operations well and no any death, when 0. 4AKBR0. 7,the patients had concomitanted with more complications such as pleural effusion and heppatic failure etc. And AKBR≤0. 4, the patients coudn't tolerated their operations. and died from hepatic failure or multiple organ failure. ② AKBR had the critical zone 0. 25~0. 4. The longer the duration in critical zone, the poorer the chances of recovery. The patients whose AKBR remained in critical zone Longer than 5 days had virtually no chance of recovery and died of hepatic failure or MOF. ③ AKBR was positively correlated with PT r=0. 568 P0. 001 ④ AKBR was negatively correlated with DSB and TSB r=-0. 433 and r=-0. 478. P0. 001. The study stated that AKBR reflects hepatic mitochondrial redox potential. It was the clinic significance in that AKBR can value postoperative rish and guide to treat patients during perioperative period
【CateGory Index】: R735.7
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