摘要
目的探讨肠内外营养联合生长抑素在近端胃切除术后吻合口瘘治疗中的作用。方法对6例近端胃切除术后吻合口瘘患者进行肠内、外营养支持联合生长抑素等保守治疗，监测患者营养指标及愈合时间。结果6例患者经非手术治疗均痊愈出院，平均住院时间32d，吻合口瘘后1d与吻合口瘘愈合后营养指标比较有统计学意义（P〈0．01），无其他并发症发生。结论充分引流，阶段性营养支持联合生长抑素治疗可以有效促进吻合口瘘愈合并改善营养状况。
Objective To study the effect of nutrition support with somatostatin in patients with gastro- e- sophagus leakage after proximal gastrectomy. Methods 6 patients with gastro- esophagus leakage after proximal gastrectomy for gastric cancer from July 2004 to September 2009 were enrolled. Then, the patients were treated with im- proved drainage ,parenteral ＆ enteral nutrition and somatostatin. Furthermore, nutrition index and duration of recovery were investigated respectively. All data were analyzed between preoperative and postoperative by student＇ s T-Test. Results 6 patients were cured after non-operation. The average period of in-hospital was 32 days. Compared with the post- leakage day I ,the nutrition states were significantly improved when patients recovered（ P 〈0.01 ）. Non-complication happened. Conclusion It was an effective way to improve the nutrition state and to promote the gastro- esophagus leakage healing
出处
《中国基层医药》
CAS
2010年第14期1952-1953,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
近端胃切除术
吻合口瘘
生长抑素
营养治疗
Proximal gastrectomy
Anastomotic leakage
Somatostatin
Nutrition treatment
