摘要
短肠综合征患者的治疗包括内、外科治疗。其中肠外营养在内科治疗中起着重要作用。肠外营养提供了水、电解质和必要营养物以维持生命,其同时存在致命的并发症,如感染、静脉通道破坏消失、血管栓塞及肝脏损害。这促成了一些新的治疗方法的产生,如生长因子的使用,以及为减轻症状使用的辅助药物(如奥曲肽减轻腹泻等)。外科手术主要包括肠管的倒置吻合、肠襻圈形吻合以及延长小肠长度提高小肠功能,小肠移植也得到一定的发展。
The treatments for short bowel syndrome include medical treatment and surgical treatment.Parenteral nutrition plays a crucial role in the medical treatment.Although parenteral nutrition provide water,electrolytes,and necessary nutrients essential for life maintenance,it is concomitantly complicated with life-threatening comorbidities,such as infection,destruction of venous access pathway,thrombosis,and liver injuries.This promotes the emergence of some novel treatments,including the use of growth factors and adjuvant agents to alleviate symptoms（for example,octreotide for diarrhea）.Surgical treatment includes intestinal tapering,recirculating loop,and intestinal lengthening to improve the intestinal function.Intestinal transplantation has been also developed.
出处
《医学综述》
2011年第3期417-419,共3页
Medical Recapitulate
关键词
短肠综合征
治疗
小肠移植
Short bowel syndrome
Management
Intestinal transplantation
