抗结核药物加肠内营养治疗重症结核性肠梗阻病人

发布时间：2018-02-17 02:19

本文关键词： 重症结核性肠梗阻序贯治疗肠内营养治疗滴定式　出处：《肠外与肠内营养》2015年04期 　论文类型：期刊论文

【摘要】：目的:探讨无手术指征的重症结核性肠梗阻病人的治疗方法。方法:对28例重症结核性肠梗阻病人在充分抗结核治疗的基础上,早期开始以"复方氨基酸注射液+地塞米松磷酸钠注射液"为营养制剂的肠内营养(EN)联合肠外营养(PN)治疗。依据病人对EN的耐受程度调整鼻饲的速度和营养液的种类,逐渐过渡至TEN。结果:28例病人均采用此方法得以治愈,无中转手术病例。行氨基酸+地塞米松混合液滴定式EN序贯治疗平均鼻饲时间为(6±2)d。治疗后1~2 d病人腹痛、腹胀开始缓解,1~3 d开始排气、排便,恢复正常饮食平均时间为(14±6)d。结论:在充分抗结核治疗的基础上,采用复方氨基酸+地塞米松磷酸钠滴定式EN序贯治疗,对无手术指征的重症结核性肠梗阻病人疗效满意。
[Abstract]:Objective: to explore the treatment of severe tuberculous intestinal obstruction without surgical indication. Methods: 28 patients with severe tuberculous intestinal obstruction were treated with adequate antituberculous therapy. In the early stage, enteral nutrition (en) combined with parenteral nutrition (PNN) with "compound amino acid injection dexamethasone sodium phosphate injection" as nutritional preparation was used to adjust the speed of nasal feeding and the type of nutrient solution according to the patient's tolerance to en. Results Twenty eight patients were cured by this method, and no cases were converted to surgery. The average nasal feeding time was 6 卤2 days after the treatment, and the mean time of nasal feeding was 6 卤2 d. The abdominal pain was 12 days after treatment, 2 days after the treatment, the patients were treated with amino acid dexamethasone mixture titration en sequential therapy, and the mean nasal feeding time was 6 卤2 days. The abdominal distension began to relieve for 3 days, and the average time to return to normal diet was 14 卤6 days. Conclusion: on the basis of adequate antituberculous therapy, compound amino acid dexamethasone sodium phosphate titrated en sequential therapy was used. Satisfactory results were obtained for patients with severe tuberculous intestinal obstruction without surgical indication.
【作者单位】：太原市第四人民医院重症医学科;
【分类号】：R524

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