社團法人臺灣臨床藥學會

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【原著】白蛋白於腔室症候群術後之營養支持
The Albumin Supplement after the Operation of Compartment Syndrome
白蛋白、腔室症候群、肌膜切開術、營養支持、albumin, compartment syndrome, fasciotomy, nutrition support
顏大欽Ta-Chin Yen1.2 、余珮麒Pei-Chi Yu3.4 、藍慈惠Tzu-Hui Lan3 、詹道明Thau-Ming Cham3
1國軍高雄總醫院骨科 、2輔英科技大學護理科 、3高雄醫學大學藥學研究所 、4高雄縣政府衛生局醫政課
此為回溯性的臨床研究,採個案追蹤的方式,針對人類血清白蛋白(Human Serum Albumin)於腔室症候群患者術後的營養支持作一療效評估。本研究於89年1月至91年12月期間,收集了某教學醫院四肢骨折且接受肌膜切開術的患者,記錄手術前後血清生化值的變化。若手術後三天內,白蛋白生化值低於3.0 g/dl者,給予靜脈白蛋白營養支持療法三天。之後,比較給予白蛋白之前、後的差異。本研究符合條件納入研究分析者共21位,其白蛋白濃度因手術之平均降至2.9 g/dl,在給予營養支持後,臨床症狀確實改善。

The retrospective objective was performed to assess the effect of human serum albumin supplement after the operation of compartment syndrome. During 2000-1 to 2002-12, the patients with the fracture of limbs were collected. The albumin level was kept track of check for the preoperation and postoperation in the certain teaching hospital. There were 21 cases accepted further fasciotomyfor compartment syndrome and conformed to study conditions in the study end. If the albumin level fell below 3.0 g/dl after the operation, we gave parenteral nutrition support to the patients with the human albumin for three days. Afterward, we compared the clinical condition of the patients before with after albumin supplement. The results revealed the fasciotomy has brought about albumin level lowered 2.9 g/dl, and the clinical condition improved really after albumin supplement.
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