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采用C—反应蛋白免疫单相扩散板对61例食管癌、贲门癌患者术前,术后1日,4日和8日的血清C—反应蛋白含量进行测定。23%患者C—反应蛋白增高;术后第1日C—反应蛋白平均增加8.78倍;术后第4日和第8日,无并发症的患者C—反应蛋白分别回降72.7%和87.8%,而有并发症的患者分别回降28.6%和68.1%。本文结果提示,C—反应蛋白测定可反映开胸术后组织损伤、修复过程、可预测术后并发症,对手术指证的选择有指导意义。
The serum C-reactive protein levels in 61 patients with esophageal or cardiac cancer before and after 1, 4 and 8 days after operation were measured with C-reactive protein immunological single-phase diffusion plate. C-reactive protein increased in 23% of patients; C-reactive protein increased by an average of 8.78 times on the first postoperative day; C-reactive protein decreased 72.7 in patients without complications on the fourth and eighth postoperative days. % and 87.8%, while patients with complications dropped by 28.6% and 68.1% respectively. The results of this study suggest that C-reactive protein assay can reflect the tissue damage, repair process, predict postoperative complications after thoracotomy, and guide the choice of surgical indications.