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消化道高流量瘘的营养支持

Nutritional support in high-output fistulas of the alimentary tract.

作者信息

Haffejee A A, Angorn I B, Baker L W

出版信息

S Afr Med J. 1980 Feb 16;57(7):227-31.

PMID:6773156
Abstract

A total of 63 patients with high-output alimentary tract fistules was treated during a 3-year period, using three different regimens of nutritional support. The fistula closed spontaneously in 46 patients (73%), and 7 patients (11%) were cured by direct surgical closure. Nine patients died, a mortality rate of 14.3%. The combination of nutritional support, skin protection, and timed surgical intervention can reduce the mortality rate to below 10%.

摘要

在3年期间,共对63例高流量消化道瘘患者采用三种不同的营养支持方案进行了治疗。46例患者(73%)的瘘口自行闭合,7例患者(11%)通过直接手术闭合治愈。9例患者死亡,死亡率为14.3%。营养支持、皮肤保护和适时手术干预相结合可将死亡率降至10%以下。

相似文献

1
Nutritional support in high-output fistulas of the alimentary tract.消化道高流量瘘的营养支持
S Afr Med J. 1980 Feb 16;57(7):227-31.
2
[Parenteral hyperalimentation in the treatment of esophageal, gastric and intestinal fistulas (author's transl)].胃肠外营养在食管、胃及肠瘘治疗中的应用(作者译)
Sem Hop. 1979;55(19-20):998-1002.
3
Management of gastrointestinal fistulas with total parenteral nutrition.全胃肠外营养治疗胃肠瘘
Int Surg. 1976 May;61(5):273-5.
4
Conservative treatment of gastrointestinal fistulas.胃肠道瘘的保守治疗
Surg Gynecol Obstet. 1977 Apr;144(4):512-4.
5
Nutritional support in the management of external fistulas of the alimentary tract.消化道外瘘治疗中的营养支持
Br J Surg. 1975 Feb;62(2):100-3. doi: 10.1002/bjs.1800620205.
6
One hundred and fourteen fistulas of the gastrointestinal tract treated with total parenteral nutrition.114例接受全胃肠外营养治疗的胃肠道瘘患者。
Surg Gynecol Obstet. 1986 Oct;163(4):345-50.
7
[Management of external fistulas of the digestive system: analysis of 106 patients].[消化系统外瘘的管理:106例患者分析]
Rev Gastroenterol Mex. 1983 Jan-Mar;48(1):31-8.
8
[Nutritional therapy in postoperative digestive fistula in elderly patients].
Minerva Anestesiol. 1991 Oct;57(10):831-2.
9
[Conservative treatment of postoperative fistulas of the digestive tract].[消化道术后瘘的保守治疗]
Minerva Anestesiol. 1979 Jan-Feb;45(1-2):77-80.
10
Elemental diet in the treatment of fistulas of the alimentary tract.要素饮食在消化道瘘治疗中的应用
Surg Gynecol Obstet. 1973 Jul;137(1):68-72.

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Nutritional Management in Enterocutaneous Fistula. What is the evidence?肠外瘘的营养管理。证据是什么?
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World J Gastrointest Surg. 2010 Jul 27;2(7):242-6. doi: 10.4240/wjgs.v2.i7.242.