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August 1, 1984Journal of Clinical PathologyOpen Access

Early plasma protein and mineral changes after surgery: a two stage process.

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Authors

MMM A MyersUniversity of Toledo Medical CenterAFA. FleckUniversity of LondonBSBarry SampsonCharing Cross Hospital

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Implication

Observational study reveals two-stage plasma protein and trace mineral changes after hysterectomy, indicating early microvascular permeability followed by mediated acute-phase responses.

Key Points

  • To characterize the sequential fluctuations in circulating plasma proteins and trace minerals during the first 24 hours following surgical incision.
  • Measured serial plasma concentrations of albumin, transferrin, alpha 1-acid glycoprotein, C-reactive protein, fibrinogen, copper, iron, and zinc.
  • Collected sequential blood samples up to 24 hours following skin incision in patients undergoing hysterectomy.
  • Plasma concentrations of all proteins and minerals (albumin, transferrin, copper, iron, zinc, and acute-phase reactants) fell significantly between 2 and 4 hours post-incision.
  • Acute-phase proteins (alpha 1-acid glycoprotein, C-reactive protein, and fibrinogen) began increasing only after 6 hours, while iron and zinc ratios to their binding proteins dropped at 4 to 6 hours and stayed depressed through 24 hours.

Cite This Study

Myers et al. (1984) studied this question.

synapsesocial.com/papers/6a6fedb078a11c550e09b558https://doi.org/10.1136/jcp.37.8.862
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