Irving M, White R, Tresadern J
Ann R Coll Surg Engl. 1985 Jan;67(1):2-5.
The work of a purpose-built unit for the treatment of intestinal failure is described. In the 3 years following its opening the 4-bed unit treated 83 patients who were admitted for a mean of 35 days. Major indications for admission were difficult cases of Crohn's disease, intestinal fistulae and short bowel syndrome. Since the unit opened the mortality rate in this type of patient has fallen from 42% to 20%. The principal treatment used was total parenteral nutrition (TPN) although 52 of the 83 patients also required major surgery. Repeated experience with the same type of clinical problem has led to more efficient patient management and has reduced the complication rate associated with TPN. The unit has acted as a centre for the management of patients needing Home Parenteral Nutrition and has an active role in training nursing and medical staff in intravenous therapy. A plea is made for the establishment of regional intestinal failure units.
本文描述了一个专门用于治疗肠衰竭的科室的工作情况。该科室开放后的3年里，这个拥有4张床位的科室共收治了83名患者，平均住院时间为35天。入院的主要指征是克罗恩病的疑难病例、肠瘘和短肠综合征。自该科室开放以来，这类患者的死亡率已从42%降至20%。主要治疗方法是全胃肠外营养（TPN），不过83名患者中有52名还需要进行大手术。对同一类临床问题的反复经验积累使得患者管理更加高效，并降低了与TPN相关的并发症发生率。该科室已成为管理需要家庭肠外营养患者的中心，并在培训护理和医务人员进行静脉治疗方面发挥了积极作用。呼吁建立区域性肠衰竭科室。
