活体小肠移植肠功能的判断和处理  

Judgement and Treatment of Intestine Function after Clinic Intestinal Transplantation in Vivo

作　　者：侯明星[1] 孙晓风[1] 赵海平[1] 董培德[1] 

机构地区：[1]内蒙古医学院附属医院消化外科,呼和浩特010050

出　　处：《中国现代医生》2008年第15期106-107,110,共3页China Modern Doctor

基　　金：生物医药卫生科技项目:小肠移植实验及临床研究(2004年172号)

摘　　要：目的探讨活体小肠移植手术后肠功能恢复的监测方法。方法检测血BUN、FK506血药浓度及D2木糖醇吸收试验,分析胃肠道功能情况,及时调整免疫抑制药物剂量和胃肠道内、外营养供给。结果血BUN的升高可反映肠道的出血情况,FK506血药浓度及D2木糖醇吸收试验可判断肠道功能恢复情况。结论手术后胃肠道功能恢复是一个漫长而困难的过程,临床表现和FK506血药浓度、D2木糖醇吸收试验是监测移植肠功能的简便实用方法。Objective To investigate recovery of intestine function after clinic intestinal transplantation in vivo. Methods The blood level of BUN was detected,the state of gastrointestinal tract funtion was analyzed according to D2 xylitol absorption test and the blood drug level of FK506. Results Blood level of BUN could reflect state of intestinal haemorrhage. Recovery of intestinal function could be judged according to D2 xylitol absorption test and blood drug level of FK506. Conclusion Recovery of gastrointestinal tract＇s function is a very long process which is full of difficulty, clinic representation, blood drug level and D2 xylitol absorption test are practical and effective way to monitor function of transplantation.

关 键 词：小肠移植 小肠功能 处理 FK506 D2木糖醇吸收试验 

分 类 号：R656.7[医药卫生—外科学]