肠康复治疗用于缺血性肠功能障碍  

Bowel nutritional rehabilitation therapy for gut dysfunction after acute mesenteric artery ischemia

作　　者：韩建明[1] 李为苏[1] 吴性江[1] 黎介寿[1] 

机构地区：[1]南京军区南京总医院解放军普通外科研究所,江苏南京210002

出　　处：《肠外与肠内营养》2004年第4期209-211,215,共4页Parenteral & Enteral Nutrition

摘　　要：目的 :总结肠康复治疗用于急性肠系膜缺血所致肠功能障碍的经验。　方法 :对 2例急性肠系膜缺血病人 ,在早期治疗中保留生机不确定的肠管 ,设法尽早恢复肠道血供 ,术后肠功能障碍给予肠外、肠内营养支持 +谷氨酰胺 +生长激素 +膳食纤维行肠康复治疗。　结果 :肠康复治疗结束后 ,肠功能恢复 ,饮食正常。　结论Objective: To evaluate the effectiveness of bowel nutritional rehabilitation therapy in patients with gut dysfunction caused by acute mesenteric artery occlusion. Methods: Two patients with acute mesenteric artery occlusion received management of revascularization by operative and nonoperative approach. Viability dusky bowel was leaved in one patient. Second look laparotomy was performed to access the viability of the bowel in another patient. The patients remained gut dysfunction and received bowel nutritional rehabilitation therapy early after operation. Results: The gut function of the patients recovered and had normal diet after bowel nutritional rehabilitation therapy. Conclusions: The gut dysfunction caused by acute mesenteric artery occlusion should be treated with bowel nutritional rehabilitation early.

关 键 词：肠康复 缺血性肠功能障碍 肠功能障碍 急性肠系膜缺血 

分 类 号：R656.7[医药卫生—外科学]