www.melanexjou.fora.pl

[px231858]

Jejunum ostomy line 16 cases of pediatric surgery effect of nutritional support


Wai Keywords: R473.6 Document code: B Article ID :1004-0412 (2003) 06-0569-01 our hospital in January 1995 16 patients achieved satisfactory results, are reported as follows: 1 clinical data 1.1 General information: The group received enteral nutrition jejunal fistula total of 16 patients, 16 males and 5 females, aged 2 to 14 years old. One high fistula 9 cases, 4 cases of giant cysts in the pancreas,[link widoczny dla zalogowanych], common bile duct cysts in 3 cases. 1.2 Treatment: ligament away from Qu's under 10 - '30cm, and then tighten the purse and sneak in to do the abdominal wall tunnel 5 1.3 Specific applications: the postoperative recovery of intestinal function is not completely within 3 ~ 5d before the use of TPN, soon after the transition to enteral nutrition through the tube into the homogenate. Material early as tofu, soy milk, vegetable oil, salt, sugar, fresh vegetables, fruits, rice, bread, and then gradually increase the milk, eggs, lean pork, chicken, fish. After the calculation process with the mill into a homogenized, heated to 30. . 40 ~ C, with maintenance of drip infusion bottle a day per kilogram of body weight 20 - '30ml. 10 per minute - 1.4 Treatment Results: 2 patients with early onset of abdominal distension, diarrhea 1 down by the slow infusion rate and reduce the symptoms disappeared after the concentration, more than 11 cases without any discomfort. Gradual increase in weight during hospitalization, were clinically cured. 2 Discussion normal intake by the gastrointestinal tract,[link widoczny dla zalogowanych], digestion and absorption of nutrients. However, some patients suffering from gastrointestinal tract dysfunction, such as the digestive tract fistula, short syndrome, radiation enteritis and other diseases. Nutrient intake, digestion and absorption through the gastrointestinal tract can not be carried out, so Dudrick and Wilmore 1967, using the method of subclavian vein puncture lumen venous catheter placed and began parenteral nutrition, due to fast growth in children, nutrition, less reserves. Even better is the nutritional status of the sick child,[link widoczny dla zalogowanych], major surgery or other reasons due to the line to be fast 超过 2 ~ 3d above, relying solely on water and electrolyte supplement is not enough, especially in critically ill children are often prone to the quality of a calorie malnutrition, severe or even irreversible neurological damage. Therefore, a higher nutritional requirements for children. Parenteral nutrition in the past has its special advantages, saved countless children, can not be completely replaced by enteral nutrition,[link widoczny dla zalogowanych], but through years of application, gradually exposed their shortcomings, especially in the intestinal barrier recognized the importance of the body , the people a new understanding of enteral nutrition, enteral nutrition in nutritional support and hold a dominant position, and its main advantages are: ① enteral nutrition compared with parenteral nutrition low prices. ② nutrients stimulate the intestinal mucosa, intestinal villi to increase the number and height contribute to the recovery of bowel function. ③ nutrient stimulation can improve the permeability of intestinal mucosa to maintain the integrity of the intestinal tract to reduce the displacement of intestinal bacteria and their products. ④ meet the physiological and reduce complications. The role of enteral nutrition must not only maintain the nutritional status of children. More important is to maintain the internal organs of the various physiological functions. Digestion and absorption process can increase the blood supply to the gastrointestinal tract. Stimulation of visceral nerves of the gastrointestinal tract of control and hormone secretion, as systemic and gastrointestinal tract itself provides a variety of nutrients, and can protect the normal flora of the gastrointestinal tract and immune system. These effects on the maintenance of intestinal mucosal barrier, to maintain the normal structure of gastrointestinal tract and physiological functions,[link widoczny dla zalogowanych], reducing the bacteria ectopic, and the prevention of intrahepatic cholestasis are of great significance. If the long-term fasting or by parenteral means to provide nutrition. The role will no longer exist. All known nutrients, including glutamine, arginine, nucleotides, dietary fiber, medium and long chain fatty acids and other substances can be easily added enteral nutrition, enteral nutrition and thus the nutritional content of more comprehensive , and low prices. When enteral nutrition preparation of sterile parenteral nutrition requirements as high, simple, low technology and equipment requirements, the use of process is also more secure, and relatively few complications. So. As long as the patient's gastrointestinal tract digestion and absorption, enteral nutrition should be used. In the course of nutritional support by enteral nutrition without excessive pursuit of the patient to fully meet the needs of nutrients and energy, it is important to maintain the gastrointestinal tract through the use of a variety of physiological functions of internal organs purposes. 【Received :2003-08 one of the IEI is] (Editing Yang words)
More articles related to topics：


[link widoczny dla zalogowanych]

tory burch Bronchial artery infusion of advanced l

p90x calendar Effects of selenium on rat embryonic