肠外营养支持对肠瘘患者的作用  

Role of Parenteral Nutrition in Patients with Gastrointestinal Fistulas

作　　者：童强[1] 冯丹[2] 王国斌[1] 卢晓明[1] 刘科[1] 金钦文[1] 肖勇[1] 陶凯雄[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院普外科,武汉430022 [2]华中科技大学同济医学院附属同济医院药剂科,武汉430030

出　　处：《中国康复》2006年第4期257-258,共2页Chinese Journal of Rehabilitation

摘　　要：目的:观察肠外营养在肠瘘临床治疗中的作用。方法:因腹部手术后发生肠瘘患者74例,其中高位肠瘘31例,低位肠瘘43例,均于发现肠瘘48-72 h开始给予肠外营养支持1-210 d,平均38 d。结果:74例患者瘘口自然闭合57例(77.0%),手术闭合13例(17.6%),死亡4例(5.4%)。结论:肠外营养对于促进肠瘘自然闭合,以及为肠瘘赢得手术闭合时机,都具有不可取代的治疗作用。Objective: To summarize our experience of parenteral nutritional(PN) support in the management of gastrointestinal fistulas.Methods: A series of 74 patients with gastrointestinal fistula were presented, of whom 31 cases were upper gastrointestinal fistulas and 43 cases belonged to lower gastrointestinal fistulas.The mean duration of PN support for patients was 38 days and the longest one maintained for 210 days.Results: The fistulas healed spontaneously in 57 cases(77.0 %).Operative resection of fistulous segments during the time of PN was successful in 13 cases((17.6 %)).Four cases died(5.4 %).Conclusion: PN was an essential treatment for patients with gastrointestinal fistulas.It not only encouraged the spontaneous closure,but also won the time for surgical closure of gastrointestinal fistulas.

关 键 词：肠外营养 肠瘘 并发症 

分 类 号：R459.3[医药卫生—治疗学]