Abstract OBJECTIVE: To study the changes of serum albumin contents after operation and investigate whether post-operational serum albumin contents are correlated with the disease severity in children with acute intussusception. METHODS: Serum albumin contents were measured using the automatic biochemistry analyzer in 32 children with mild acute intussusception and 21 children with severe acute intussusception 1 day after surgical operation. After 5 days combined treatment, serum albumin contents were re-examined. Thirty healthy children severed as the control group. The correlation between post-operational serum albumin contents and critical illness scores was evaluated. RESULTS: Serum albumin contents in the mild (34.2±6.5 g/L; P<0.05) and the severe intussusception groups (25.8±7.5 g/L;P<0.01) 1 day after operation were significantly lower than those in the control group (37.1±4.1 g/L). There were significant differences in serum albumin contents between the mild and the severe intussusception groups (P<0.05). Five days after operation, serum albumin contents in the mild intussusception group significantly increased (37.1±11.4 g/L; P<0.05), while serum albumin contents in the severe intussusception group did not differ from those 1 day after operation. There was a positive correlation between serum albumin contents on the 1st day after operation and the critical illness scores (r=0.879, P<0.01). CONCLUSIONS: Serum albumin contents decreased on the 1st day after operation and were correlated with the disease severity in children with acute intussusception. Hypoalbuminemia lasted for a longer period in severe cases. The post-operational measurement of serum albumin contents may be useful in the evaluation of the severity for children with acute intussusception.[Chin J Contemp Pediatr, 2009, 11 (4):277-279]
XIA Chan,HAN Guo-Qiang,YE Jing et al. Contents of serum albumin after surgical operation in children with acute intussusception[J]. 中国当代儿科杂志, 2009, 11(04): 277-279.
XIA Chan,HAN Guo-Qiang,YE Jing et al. Contents of serum albumin after surgical operation in children with acute intussusception[J]. CJCP, 2009, 11(04): 277-279.
[2]Nedrebo T, Reed RK. Different serotypes of endotoxin (lipopolysaccharide) cause different increases in albumin extravasation in rats[J]. Shock, 2002,18(2):138-141.
[12]Spiess A, Mikalunas V, Carlson S, Zimmer M, Craig RM. Albumin kinetics in hypoalbuminemic patients receiving total parentral nutrition[J].JPEN J Parenter Enteral Nutr, 1996, 20(6):424-428.