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[腐蚀性食管狭窄八天后的重症监护与饮食]

[Intensive care and diet in cases of caustic esophageal stenosis after the first eight days].

作者信息

Jehanno C, Kaswin D, Bourrier C, Celerier M, Echter E, Dubost C

出版信息

Ann Anesthesiol Fr. 1977;18(4):331-40.

PMID:22279
Abstract

On the basis of 12 cases of caustic burns of the oesophagus, the authors describe the technique of alimentation, once the acute phase of the first eight days has passed. From the 8th to the 15th days, calories and provided parenterally. An upper GI series is carried out on the 15th day: if the stomach is healthy, the authors fashion an alimentation gastrostomy, if the stomach is damaged, they carry out gastrectomy with alimentation gastrostomy or jejunostomy. In all cases, continuity is re-established by coloplasty two months later.

摘要

基于12例食管腐蚀性烧伤病例,作者描述了在前8天急性期过后的营养供给技术。从第8天到第15天,通过肠外途径提供热量。在第15天进行上消化道造影:如果胃健康,作者施行营养性胃造口术;如果胃受损,则施行胃切除术并同时进行营养性胃造口术或空肠造口术。在所有病例中,两个月后通过结肠成形术重建消化道连续性。

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