[Effects of total lavage of the gastrointestinal tract on the regulatory mechanisms of water-electrolyte metabolism in patients who had undergone colon surgery].
The main parameters of homeostasis in total lavage of the gastrointestinal tract with isotonic solution (osmolality of 290 mosm/l) were studied in 85 patients. It was revealed that lavage facilitates increase of the volume of circulating blood by more than 10%. Prolonged (over 6 hours) operative intervention and severe blood loss (20% of the circulating volume) which call for the conduction of infusion-transfusion therapy during lavage lead to considerable water loading of the patient's organism. Initial hypoalbuminemia and hypokalemia in the patients should be considered a relative contraindication for total lavage of the gastrointestinal tract with an isotonic solution.
Smirnova
V I
VI
Chechin
V S
VS
Akopian
A S
AS
D000328:Adult; D000368:Aged; D003106:Colon / Q000601:surgery*; D004064:Digestive System; D005260:Female; D006801:Humans; D007552:Isotonic Solutions; D008297:Male; D008875:Middle Aged; D011182:Postoperative Care; D007507:Therapeutic Irrigation / Q000009:adverse effects; D014882:Water-Electrolyte Balance
D007552:Isotonic Solutions
Vliianie total'nogo promyvaniia zheludochno-kichechnogo trakta na nekotorye reguliatornye mekhanizmy vodno-élektrolitnogo obmena u bol'nykh, operirovannykh na obodochnoĭ kishke.