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手术治疗食管癌的肠外营养:氮平衡及临床研究

Parenteral nutrition in carcinoma of the oesophagus treated by surgery: nitrogen balance and clinical studies.

作者信息

Moghissi K, Hornshaw J, Teasdale P R, Dawes E A

出版信息

Br J Surg. 1977 Feb;64(2):125-8. doi: 10.1002/bjs.1800640211.

Abstract

Nitrogen balance studies and clinical observations were made on two groups of patients suffering from obstructive carcinoma of the oesophagus. In 10 patients (group A) parenteral nutrition with a high calorie and nitrogen content was given pre- and early postoperatively. Five patients (group B) received intravenous dextrose/saline solution pre- and postoperatively with no nitrogen supply. Patients in group A had a positive nitrogen balance before and after operation and had a satisfactory postoperative progress. The patients in group B had a negative nitrogen balance until the resumption of oral feeding and their postoperative progress was not as satisfactory as that of patients in group A.

摘要

对两组患有食管梗阻性癌的患者进行了氮平衡研究和临床观察。10例患者(A组)在术前及术后早期给予高热量、高氮含量的肠外营养。5例患者(B组)在术前及术后接受静脉输注葡萄糖/盐水溶液,不供应氮。A组患者在手术前后氮平衡为正,术后恢复良好。B组患者直到恢复经口进食前氮平衡为负,其术后恢复情况不如A组患者满意。

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