急性小肠缺血术后蛋白质丢失性肠病  

The protein losing enteropathy after the partial resection of acute ischemic intestine

作　　者：杨建芬[1] 任建安[1] 赵允召[1] 朱维铭[1] 李宁[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》2009年第1期32-34,共3页Parenteral & Enteral Nutrition

摘　　要：目的:探讨急性小肠缺血部分小肠切除术后蛋白质丢失性肠病的临床特点、诊断和治疗。方法:回顾分析我科收治的4例急性小肠缺血部分小肠切除术后蛋白质丢失性肠病的临床资料。结果:4例病人经检查和手术治疗,证明蛋白质丢失为原残留小肠均有缺血性病变,切除病变肠段和营养支持后,症状消失,营养状况显著改善。结论:手术切除病变肠段和EN支持治疗急性小肠缺血部分小肠切除术后蛋白质丢失性肠病,效果满意。Objectives： To study the diagnosis and treatment of proteirf losing enteropathy in：patients after the partial resection of segment of ischemic intestine. Methods： A retrospective review of four patients with ischemia protein losing enteropathy after the partial resection of segment of intestine in patients with acute intestinal isehemia was made from October 2002 to February 2007. Results ： The diagnosis of ischemia protein losing enteropathy of all four patients was proved by endoscopy and selective angiography. The four patients suffering from ischemia protein losing enteropathy received operative therapy and nutritional support. The therapeutic role was satisfactory. Obvious alleviation was obtained in all 4 cases, and the nutritional state improved markedly. The plasma albumin level increased significantly. Conclusion： The clinical manifestation of ischemia protein losing enteropathy is specific. Endoscopy and selective angiography are important for the diagnosis. Surgery and nutritional support is the first choice of therapy

关 键 词：急性小肠缺血 缺血性肠病 蛋白质丢失性肠病 营养支持 

分 类 号：R656.7[医药卫生—外科学]