| 小肠移植围手术期的营养支持 |
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| 引用本文： | 李元新,李宁,倪小冬,李幼生,李民,沈璟,黎介寿. 小肠移植围手术期的营养支持[J]. 肠外与肠内营养, 2008, 15(6): 335-338 |
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| 作者姓名： | 李元新 李宁 倪小冬 李幼生 李民 沈璟 黎介寿 |
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| 作者单位： | 南京军区南京总医院解放军普通外科研究所,江苏南京,210002 |
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| 基金项目： | 江苏省自然科学基金创新学者攀登项目 |
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| 摘 要： | 目的:改进小肠移植围手术期的营养支持方法,并总结3例小肠移植病人的营养支持疗效. 方法:3例病人均接受全小肠移植.病人手术前先接受TPN支持,术后便开始TPN支持.随着移植肠功能的恢复,在对EN支持耐受和有效地维持营养状态的前提下,尽快实现PN向EN过渡,恢复经口进食,并最终摆脱PN支持.应用Gln、甘氨酰谷氨酰二肽和生长激素,以促进移植肠功能的恢复. 结果:3例病人分别于移植术后21、14和24 d摆脱TPN,体质量和血浆ALB水平明显改善. 结论:改进小肠移植围手术期的营养支持方法,能促进移植肠功能恢复,使病人尽快适应EN支持.
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| 关 键 词： | 小肠移植 营养支持 围手术期处理 |
Perioperative nutritional support of adult isolated small bowel transplantation |
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| LI Yuan-xin,LI Ning,NI Xiao-dong,LI You-sheng,LI Min,SHEN Jing,LI Jie-shou. Perioperative nutritional support of adult isolated small bowel transplantation[J]. Parenteral & Enteral Nutrition, 2008, 15(6): 335-338 |
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| Authors: | LI Yuan-xin LI Ning NI Xiao-dong LI You-sheng LI Min SHEN Jing LI Jie-shou |
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| Affiliation: | LI Yuan-xin,LI Ning,NI Xiao-dong,LI You-sheng,LI Min,SHEN Jing,LI Jie-shou(Research Institute of General Surgery,Nanjing General Hospital of Nanjing Military Comm,,PLA,Nanjing 210002,Jiangsu,China) |
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| Abstract: | Objective: To refine perioperative nutritional support of adult isolated small bowel transplantation (SBTx). Methods: 3 patients received isolated small intestine transplantation. Total paraenteral nutrition (TPN) were performed before SBTx, and patients received TPN shortly after SBTx. Enteral nutrition (EN) was increased, and parenteral nutrition was decreased according with recovery of the grafted intestinal function under condition of well-tolerant tube feeding and good nutritional status.The glutamine,... |
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| Keywords: | Small bowel transplantation Nutritional support Perioperative period |
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