肝肠联合移植术后的代谢调控治疗  

Nutritional support and metabolic intervention after combined liver and intestinal transplantation

作　　者：朱亮[1] 李宁[1] 李幼生[1] 李元新[1] 李维勤[1] 朱维铭[1] 刘放南[1] 倪小东[1] 曹斌[1] 李为苏[1] 罗开[1] 黎介寿[1] 

机构地区：[1]南京大学医学院临床学院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3期143-146,共4页Parenteral & Enteral Nutrition

基　　金：军区"十五"医学科研基金重点课题资助项目 (批准号 :0 2Z0 0 1)

摘　　要：目的 :探讨代谢调控治疗在肝肠联合移植病人术后的应用。方法 :肝肠移植术后第 1天开始给予全肠外营养添加谷氨酰胺双肽和精氨酸 ,术后第 4天开始给予肠内营养添加谷氨酰胺和精氨酸 ,间歇应用生长激素四个疗程。根据肠功能的恢复情况 ,逐渐由肠外营养向肠内营养过渡。　结果 :移植器官功能恢复良好 ,术后 30天病人能够较好地耐受肠内营养。　结论 :应用代谢调控治疗 。Objective: To observe the effect of nutritional support and metabolic intervention in a patient receiving combined liver and intestinal transplantation. Methods: Glycyl glutamine(Gly Gln)and arginine supplemented total parenteral nutrition(TPN) was administered since postoperative day(POD)1. Glutamine(Gln) and arginine supplemented enteral nutrition(EN) was applied since POD 4. Growth hormone(GH) was delivered intermittently since POD 4.With adaptation and tolerance, enteral feeding was progressively increased while parenteral nutrition reciprocally decreased. Results: Transplanted organs functioned well. Conclusions: Rehabilitation of the allograft function can profit from the application of nutritional support and metabolic intervention.

关 键 词：肝肠联合移植术 代谢调控 精氨酸 营养支持 

分 类 号：R617[医药卫生—外科学]