[The carbohydrate-energy metabolic and hemodynamic status of children with diffuse suppurative peritonitis in the early postoperative period].

Thirty-three children with grave peritonitis were examined 16-24 h after operation. The groups were matched for the hemodynamic status. Group 1 were patients with moderate hyperdynamic status, group 2 those with the extreme hyperdynamic status, and group 3--patients with hypodynamic status. The control group consisted of 36 healthy children subjected to herniotomy. Moderate hyperdynamic status was associated with balanced carbohydrate-energy metabolism. In the second group high levels of ATP+ADP+AMP and G6-PDH+6-PGDH activities and a decrease of ATP/ADP ratio and hypophosphatemia were observed. In the third group, low activity of the direct oxidative pathway and high activity of plasma LDH and hypophosphatemia were observed.