摘要
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，1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。
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 complications,three anastomotic 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.
出处
《国际外科学杂志》
2009年第3期157-160,共4页
International Journal of Surgery
关键词
胃癌
肠内营养
并发症
gastric carcinoma
enteral nutrition
complication
