摘要
目的：探讨高位肠瘘病人肠液全封闭回输结合EN，对肠瘘治疗的影响。方法：收集自2004年10月至2006年12月期间收治的高位肠瘘病人21例，所选病人均符合以下条件：瘘口均在空肠近端50cm内；均为外伤或手术后10～15d后，每天漏出的肠液〉1000mL；采取手术或气囊堵塞导管的方法，建立瘘口远、近端肠液回输引出和输入必备的管道；检测肠液回输前后血清蛋白质水平，对比肠液回输前后糖、脂肪和氮的吸收系数。结果：肠液回输后，病人的血清蛋白质水平明显增加（P〈0．01或P〈0．05），糖、脂肪和氮的吸收系数明显上升。结论：高位肠瘘病人在肠液全封闭条件下回输后，EN物质中，糖、脂肪和氮的吸收系数明显上升，血清蛋白质明显升高。避免漏出的肠液回收后再处理，减少了污染的机会。
Objective： To investigate the influence of the closed re-infusion of intestinal juice and EN on the treatment of intestinal fistula. Methods ： The study group was composed of 21 patients of intestinal fistula from October 2004 to December 2006. The fistulae was in the 50 em of the proximate jejunum and caused by trauma and operatin. The leak amount of intestinal juice was more than 1 000 mL. The protein level in serum and the absorption rates of the glucose, fat and nitrogen after the reinfusion of the intestinal juice were measured. Resutls： The protein level in serum and the absorption rates of the glusose, fat and nitrogen was increased after the re-infusion of the intestinal juice. Conclusion： The absorption of the glucose, fat and nitrogen in EN and the protein level in serum can be increased after the closed re-infusion of the intestinal juice.
出处
《肠外与肠内营养》
CAS
2008年第5期298-300,共3页
Parenteral & Enteral Nutrition
关键词
高位肠瘘
消化液回输
肠内营养
Intestinal fistula
Re-infusion of digestive juice
Enteral nutrition
作者简介
仝现州（1957-），男，河南洛阳人，主任医师，医学本科，从事普通外科专业。通讯作者：仝现州．E-mail：hgxdr@163．com.
