静脉高营养在小儿肠穿孔治疗中的作用

TPN in treatmebnt of intestinal perforation in children

目的 探讨完全肠道外静脉高营养治疗小儿肠穿孔的疗效。方法 对48例肠穿孔患儿术前术后在禁食、胃肠减压、维持水电解质平衡、纠正酸中毒、间断输血及应用有效抗菌素等综合治疗的基础上,给予静脉高营养治疗。结果 本组48例中术后治愈出院41例,治愈率为85.4％。死亡7例,占14.6％。结论 静脉高营养加速机体组织的修复,提供足够的各种营养,使机体达到正氮平衡,满足机体发育生长需要,提高抗病能力。本组患儿术前术后在综合治疗的基础上的常规应用静脉高营养疗法,疗效显著。

Objective To evaluate the curative effect of TPN the treatment of intestinal perforation in children. Method TPN was used in the treatment of 48 children with intestinal perforation on the basis of perioperative complex treatment, which consisted of fasting, gastrointestional decompression, sustenance of water- electrolyte balance, correction of acidosis, blood transfusion and application of effective antibiotics, etc. Results Of the 48 cases,41 (85.4%)were cured,7( 14.6%) died.Conclusion TPN acceleate the renovation of body tissues,provide enough various nutrilon, help the organism to achieve positive nitrogen balance, meet the demands of growth development and enhance the body resistance. In the group, the curate effect of TPN therapy on the basis of perioperative complex treatment is notable.