August D A, Sugarbaker P H
Surgery. 1985 Feb;97(2):237-41.
Often, maintenance of fluid and electrolyte homeostasis is the most challenging dilemma posed by short bowel syndrome. This report describes the management of a patient with intractable, dehydrating, salt-wasting diarrhea after small and large bowel resection for Crohn's disease complicated by rectal cancer. Intraperitoneal fluid and electrolyte therapy delivered through a Tenckhoff catheter was used to achieve long-term outpatient stability without chronic intravenous therapy. The concept of intraperitoneal fluid and electrolyte therapy is discussed and its potential role in the treatment of short bowel syndrome is described.
通常，维持液体和电解质平衡是短肠综合征带来的最具挑战性的难题。本报告描述了一名因克罗恩病合并直肠癌接受小肠和大肠切除术后出现顽固性、脱水、失盐性腹泻患者的治疗情况。通过Tenckhoff导管进行腹腔内液体和电解质治疗，以实现长期门诊稳定状态，而无需长期静脉治疗。文中讨论了腹腔内液体和电解质治疗的概念，并描述了其在短肠综合征治疗中的潜在作用。
