空肠置管肠内营养治疗大面积烧伤合并肠系膜上动脉压迫综合征

Treatment of serious burnt patients accompanied with superior mesenteric plexus compression syndrome by intubation of jejunum and enteral alimentation

目的 :介绍空肠置管肠内营养在大面积烧伤合并肠系膜上动脉压迫综合征治疗中的作用。方法 :将大面积烧伤合并肠系膜上动脉压迫综合征病人随机分为A和B两组 ,A组采用空肠置管内营养为主辅以静脉营养 ;B组给予静脉营养为主辅以口服营养。观察两组病人压迫症状消失时间 ;Hb及血清总蛋白恢复、胃肠道功能恢复时间 ;并发症、烧伤创面修复情况等。结果 :A组病人压迫症状消失早 ,Hb及血清总蛋白、胃肠道功能恢复时间短 ,并发症少 ,创面修复快。结论

Objective: To introduce the treatable effect of the intubation of jejunum and the enterial alimentation in the serious burnt patients accompanied with superior mesentertic plexus compression syndrome.Methods: Patients were divided randomly into group A and group B,the fomer was treated mainly by enterial alimentation and the later was treated mainly by intravenous alimenation,some treatable parameters were compared between the two groups.Results: Patients in group A had a shorter recovery duration and a less complication than that of group B.Conclusion: Enterial alimentation though the intubation of jejunum is effective to treat superior mesentertic plexus compression syndrome.