CAJ | 학술논문

目的分析并探讨全胃切除手术后早期使用肠内营养支持治疗的相关并发症的原因及对策.方法回顾性分析2002年9月～2008年4月安徽医科大学第一附属医院普外科195例全胃切除手术术后使用肠内营养患者的临床资料.结果 29例(约占14.87%)患者发生腹胀,17例(约占8.71%)腹泻,6例(约占3.07%)代谢性并发症,3例吻合口瘘,l例结肠穿孔.结论胃癌患者术后使用肠内营养所致的并发症与患者手术应激、营养液的输注速度和用量、患者的代谢状况等因素有关.
목적 분석병탐토전위절제수술후조기사용장내영양지지치료적상관병발증적원인급대책.방법 회고성분석2002년9월～2008년4월안휘의과대학제일부속의원보외과195례전위절제수술술후사용장내영양환자적림상자료.결과 29례(약점14.87%)환자발생복창,17례(약점8.71%)복사,6례(약점3.07%)대사성병발증,3례문합구루,l례결장천공.결론 위암환자술후사용장내영양소치적병발증여환자수술응격、영양액적수주속도화용량、환자적대사상황등인소유관.
Objective To evaluate the causation and management of complications caused by enteral nutrition (EN)after stomach cancer surgery.Methods The clinical data of 195 gastric cancer patients which used EN after surgery were analyzed retrospectively from September 2002 to April 2008 in our hospital.Results Among the 195 patients,29(14.87%)developed abdominal distention,17(8.71%)diarrhoea,Six(3.07%)metabolic complica tions,three anastomotie leakage,1 patient with colon perforation.Conclusion These complications caused by EN after stomach cancer surgery associated with the stress of surgery,the speed and concentration of nutrition infusion, patients'metabolic conditions and other related factors.