基层医院治疗肠外瘘12例报告

12 Reports for External Intestinal Fistula Treatment at Basic level Hospital

目的：总结基层医院治疗肠外瘘的经验。方法：报告本院从１９８９年１２月至１９９７年１２月收治各种肠外瘘１２例的治疗体会。依托脂肪乳注射液，用周围静脉代替经中心静脉行全肠外营养支持；简化肠内营养配方。强调肠外瘘的局部处理——附有滴水管的双腔负压吸引管持续低负压吸引。结果：除２例死亡外，８例获得瘘自愈的优良效果，１例行肠外瘘闭合手术治愈，１例好转，等待确定性手术治疗。结论：通过外周静脉途径行肠外营养支持和经空肠造口给以混合奶为主的简易肠内营养能维持肠外瘘病人的营养状态；

Objectives:To sum up the experience of external intestinal fistula treatment at basiclevel hospital. Methods:Twelve external intestinal fistula patients were treated from 1989.12 to 1997.12.Through fat emulsion injection,peripheral vein insteaded of center vein were used in nutrition support.Enteral nutritional prescription was simplified.Double chamber negative pressure suction tube with dropper was used in the local handling of the fistula. Results:Except for 2 cases of death,8 cases of fistula healed well,one case healed after closed operation,and one waited for certain operation treatment. Conclusions:Nutrition support through peripheral vein and simple enteral nutrition prescription can maintain nutritional condition of external intestinal fistula patients.Continuous negative pressure suction has an important role in local handling.