[Evaluation of the prognostic value of endocrine stress disturbances in patients with disseminated peritonitis].
The following endocrine disturbances observed in the early postoperative period are prognostically unfavourable: persisted high blood hydrocortisone level, decreased thyroid hormone, especially T-3, values, damaged negative feedback between T-3 and TTH, decreased leucine-enkephalin blood immunoreactivity. The loss of correlation between hydrocortisone and ACTH, T-3 and TTH, insulin and glucose blood levels, as well as close correlation between hydrocortisone and insulin, hydrocortisone and glucose levels and an abrupt increase in hydrocortisone/insulin, hydrocortisone/STH, hydrocortisone/T-3 and hydrocortisone/T-4 ratios have the same predictive value.
Riabov
G A
GA
Bobkov
A I
AI
Savchuk
B D
BD
Agofonov
N P
NP
Kadashchuk
I T
IT
D000328:Adult; D000368:Aged; D004702:Endocrine Glands / Q000503:physiopathology*; D006801:Humans; D008875:Middle Aged; D010538:Peritonitis / Q000150:complications* / Q000503:physiopathology; D011379:Prognosis; D013312:Stress, Physiological / Q000209:etiology*
Otsenka prognosticheskogo znacheniia éndokrinnykh stressovykh narusheniĭ u bol'nykh razlitym peritonitom.