肺移植病人的围手术期营养支持

Perioperative nutrition support for lung transplantation

目的:探讨营养支持对肺移植病人的作用。方法:对病人进行围手术期的肠内营养和代谢调理。结果:病人术前经营养支持营养状况即有改善,各项营养指标基本正常,术后短期内达到正氮平衡,恢复顺利,肺功能明显改善,无并发症发生。结论:合理的围手术期营养支持和代谢调理能够有效改善病人的营养状态,提高其对手术的耐受性,促进伤口愈合,减少严重并发症的发生。

Objective: To evaluate the effect of nutritional support for lung transplantation patients.Methods: The lung transplantation patient received perioperative enteral nutrition(EN) .Exogenous glutamine(Gln) and recombinant human growth hormone(rhGH) were postoperatively used for 7-14 days.Results: The patients weight increased from 53 kg to 55 kg. No respiratory failure and acute rejection occurred postoperatively. The patient recovered fluently.Conclusion: Appropriate perioperative nutritional support and postoperative metabolic intervention can facilitate the recovery of lung transplant patient.