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肝移植的围手术期营养治疗
引用本文:石斌,李玉民,李汛,周文策,曹农,张磊,孟文勃,李宁. 肝移植的围手术期营养治疗[J]. 肠外与肠内营养, 2004, 11(6): 332-334
作者姓名:石斌  李玉民  李汛  周文策  曹农  张磊  孟文勃  李宁
作者单位: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;兰州医学院第一附属医院普通外科,甘肃兰州,730000;兰州医学院第一附属医院普通外科,甘肃兰州,730000;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
基金项目:甘肃省科技厅科学事业科研项目
摘    要:目的:探讨原位肝移植围手术期进行营养治疗的特点,评价营养治疗的效果.方法:对4例肝移植病人围手术期的营养状况、营养治疗方法和效果进行回顾性分析.结果:4例接受肝移植病人术前存在不同程度营养不良,术中易发生血糖波动、电解质紊乱,术后易出现高氨血症、低钾血症、精神障碍、血糖升高、液体超载、低蛋白血症等. 结论:营养支持对肝移植围手术期病人的康复起重要的作用.

关 键 词:原位肝移植  肠外营养  肠内营养
文章编号:1007-810X(2004)06-0332-03
修稿时间:2004-03-01

Nutritional therapy during liver transplantation
SHI Bin ,,LI Yu-min ,LI Xun ,ZHOU Wen-ce ,CAO Nong ,ZHANG Lei ,MENG Wen-bo ,LI Ning. Nutritional therapy during liver transplantation[J]. Parenteral & Enteral Nutrition, 2004, 11(6): 332-334
Authors:SHI Bin     LI Yu-min   LI Xun   ZHOU Wen-ce   CAO Nong   ZHANG Lei   MENG Wen-bo   LI Ning
Affiliation:SHI Bin 1,2,LI Yu-min 2,LI Xun 2,ZHOU Wen-ce 2,CAO Nong 2,ZHANG Lei 2,MENG Wen-bo 2,LI Ning 1
Abstract:Objectives: To evaluate feature and effectiveness of nutritional therapy during liver transplantation. Methods: Analysis was retrospectively done about nutritional therapy in 4 patients undergoing orthotopic liver transplantation(OLT). Results: All of 4 patients had serious malnutrition during liver transplantation caused by disorders such as blood sugar fluctuation, electrolyte disturbance,hypokalemia, hyperammonemia, mental disorder, hyperglycemia,infusion and hypoproteinemia. Conclusion: Nutritional therapy during liver transplantation may be more complicated than that during other operations. It is necessary to pay attention to different nutritional treatment in different phases during liver transplantation
Keywords:Liver transplantation  Parenteral nutrition  Enteral nutrition
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