Preoperative Oral Antacid Therapy for Patients Requiring Emergency Surgery
作者:
F.,
WHITE RICHARD,
CLARK DOLA,
期刊:
Southern Medical Journal
(OVID Available online 1978)
卷期:
Volume 71,
issue 2
页码: 177-179
ISSN:0038-4348
年代: 1978
出版商: OVID
数据来源: OVID
摘要:
Preoperative oral antacid therapy has been used effectively to reduce the number of emergency obstetric patients “at risk” of developing acid-aspiration syndrome. Thirty-three nonobstetric adult patients requiring emergency surgery were selected to determine whether the protective effects of antacid therapy could also be derived in this highrisk group. Maalox-treated patients had a mean gastric pH of 6.46 ± 0.5 and gastric volume 21.5 ± 3.6 ml, with none at risk, whereas control patients had mean pH of 3.71 ± 0.43, gastric volume 71.5 ± 16.5 ml, and 42.1% at risk. This report suggests that preoperative antacid therapy should reduce the incidence of acid aspiration and subsequent morbidity and mortality in patients requiring emergency surgery.
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