Serum Electrolyte Changes And Clinical Meaning Of Major And Medium Scheduled Abdominal Surgery Of Children In Perioperation

Objective: To explore serum electrolyte changes characteristics and clinicalmeaning before and after major and medium scheduled abdominal surgery ofchildrenMethods: 57 children undergoing major and medium scheduled abdominalsurgery were divided into 4 groups(A,B,C,D) according to age andoperation degree. Group A is 19 cases(aged 0-3yr), group B is 38 cases(aged 3-14yr),group C (major surgery)is 28 cases and group D(mediumsurgery) is 29 cases. The serum electrolyte were detected before operationfirst day and 1-3 days postoperatively. The children hadn't used medicine ofinfluencing K⁺,Ca²⁺ and Mg²⁺. The children had been drip 5ï¼…GS and10ï¼…GS before and after operation, and add 5ï¼…GNS by lost and needed tomeasure. The results were analyzed with the spss 13.0.Results: After surgery the levels of K⁺ were decreased dramatically(P＜0.01) and hyperkaliemia didn't happen, with no distinctive change inNa⁺,Cl^-, Ca²⁺ and Mg²⁺(P＞0.01). The conspicuous correlationbetween age and serum potassium change was detected(P＜0.05). The ageis more young, causing the variety of serum potassium morn and easily.But the blood sodium, chlorine, calcium, magnesium change was not significant(P＞0.05). The surgical operation magnitude has no obviousrelativity to the variety of electrolyte(P＞0.05).Conclusion: With normal renal function potassium supplement might beginon the first day when the patient begins to urinate. Then that isadvantageous to promote a bowel way function instauration, to decreasecomplication such as abdominal distention, enteroparalysis, bowelobstruction, disruption of wound, et al. But it isn't need to supply calciumand magnesium after operation routinely. Sodium and chlorine supplementaccording to losing amount and the physiology needs can retain the balanceof serum sodium and chlorine after operation.