肝移植术后营养支持

目的 探讨肝移植术后的营养支持方法。方法 对２例肝移植病人术后的营养方法和营养状况进行了回顾性分析，在术后２～３天内采用全肠外营养（ＴＰＮ），并辅以人血白蛋白以维持血浆白蛋白水平，在术后第３－４天开始肠内营养（ＥＮ）结合肠外营养（ＰＮ），并逐渐过渡为完全经口饮食，结果 ２例病人现生活质量均良好，结论 术后应视移植肝功能恢复的程度，适当控制营养供给量，并循序渐进，一旦病人胃肠功能恢复，宜尽早开始ＥＮ

Nutritional support for patient will liver transplantation

Objectives: To review the methods of nutritional support after liver transplantation. Methods: An analysis of the nutritional support and of the nutritional status in two patients was made after orthotopic liver tranplantation(OLT).Total parenteral nutrition(TPN) was administered within first two or three days after the operation.The combination of enteric nutrition(EN) and parenteral nutrition(PN) was adopted three or four days after the OLT,and then a gradual intake of oral food was used. Results: Both patients survived with good health. Conclusions: Depending on the recovery of the transplanted liver functions,the supply of nutrition should be controlled during the first few days,and then gradually increased.Once the gastroenteric functions of patients recover,it is advisable to start EN as soon as possible.