摘要
目的:观察富含中链三酰甘油(MCT)的肠内营养混悬液Nutrison TP-MCT(Nutrison MCT)联合奥曲肽在腹部手术导致的乳糜性腹水治疗中的效果。方法:回顾性分析我科20例因腹部手术导致的乳糜性腹水病人,经Nutrison MCT的EN联合奥曲肽治疗的效果。病人均诊断为术后乳糜性腹水,给予Nutrison MCT和奥曲肽注射剂。记录病人治疗前后腹腔引流液的量、颜色、乳糜试验和三酰甘油浓度。结果:18例病人治疗后3~5 d乳糜试验转为阴性,腹水引流量在治疗后第11天明显下降,但2例病人因乳糜试验持续阳性,且引流量持续>200ml,给予奥曲肽0.8 mg/d联合Nutrison MCT继续治疗3 d后乳糜试验转为阴性,腹水引流量降至200 ml以下。20例病人治疗天数为8~12(9.0±1.4)d。结论:Nutrison MCT联合奥曲肽是治疗术后乳糜性腹水的有效方法。
Objectives: To observe the role of medium-chain and octreotide in the chylous ascites following abdominal surgery triglyceride-rich enteral nutrition Methods: Twety patients with chylous ascites after abdominal surgery had been enrolled in this retrospective study. Nutrison MCT and octreotide 0.6 mg/d were used in 20 patients. The volume, the triglyceride (TG) concentration and the chyle test of ascites were observed and recorded. Results: 20 cases of chylous ascites were cured. The drainage time was 8-12(9.0 ± 1.4) d and the chyle experiment was negative after treatment 3-5 d. 2 patients continued to be given Nutrison MCT and octreotide 0.8 mg/d for 3 days because the chyle test being positive and the volume of ascites being more than 200 ml. Conclusion: Nutrison MCT and octreotide is effective to chylous ascites.
出处
《肠外与肠内营养》
CAS
北大核心
2013年第2期93-95,共3页
Parenteral & Enteral Nutrition
关键词
中链三酰甘油肠内营养液
奥曲肽
乳糜性腹水
Medium-chain triglyceride-rich enteral nutrition
Octreotide
Chylous ascites