活体小肠移植围手术期的营养调控  

The accommodation of nutrition after living-related small bowel transplantation

作　　者：季刚[1] 董光龙[1] 张洪伟[1] 王为忠[1] 

机构地区：[1]第四军医大学西京医院胃肠外科,陕西西安710032

出　　处：《肠外与肠内营养》2008年第2期96-99,共4页Parenteral & Enteral Nutrition

基　　金：国家自然科学基金面上项目(30571803)

摘　　要：目的:探讨如何恰当地对活体小肠移植病人进行围手术期的营养调控。方法:根据4例活体小肠移植病人术后移植肠的功能恢复程度和全身状况,采用从PN逐步过渡至EN的营养支持方法。同时观察病人术后1周、1、3、6和9个月的临床指标和实验室指标,并进行营养状况评估。结果:4例病人中2例长期生存,分别达8年和4年,各项营养指标均基本恢复正常,健康状况良好;1例术后19 d死于急性肺梗死,1例术后5个月死于多发性器官感染。结论:EN支持可促进移植肠功能的恢复,减少或减轻并发症,提高活体小肠移植的成功率。Gln是EN液中的重要成分。Objective:To investigate appropriate accommodation of nutrition after living-related small bowel transplantation.Methods: According to the function of allograft and general body state,TPN was used and gradually transferred to PN+EN,finally to TEN.The clinical and laboratory nutrition markers in 4 recipients were observed.Results: 2 recipients survived over 4 years,various kinds of nutrition markers were normal,and the health status was good.One recipient died of acute pulmonary infarction at 19 days.Another...

关 键 词：小肠移植 肠内营养 营养调控 

分 类 号：R656.7[医药卫生—外科学]