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["短肠综合征长期肠外营养的临床情况。临床病例"]

[Clinical aspects of long-term parenteral alimentation in the "short intestine syndrome". Clinical case].

作者信息

Sprocato S, Romitti M, Albini G

出版信息

Minerva Anestesiol. 1980 Jun;46(6):709-14.

PMID:6780932
Abstract

A case of malabsorption syndrome (organic wasting, hypokaliaemia, metabolic acidosis, diarrhoea, hypochromic anaemia) following removal of 4 m of ileus for thrombophlebitis of the mesentery is described. In the first seven months, the patient was hospitalised five times to correct these imbalances by means of PA, with repeated venous incannulation. PA was continued at home each evening, together with heparin therapy (25,000 U calcic heparin/day). The patient later died following the appearance of serious venous thrombosis. The question of this complication and its prevention is discussed.

摘要

本文描述了一例因肠系膜血栓性静脉炎切除4米回肠后出现吸收不良综合征(机体消瘦、低钾血症、代谢性酸中毒、腹泻、低色素性贫血)的病例。在最初的七个月里,患者因这些失衡问题五次住院,通过肠外营养(PA)纠正,并多次进行静脉插管。患者每晚在家继续接受肠外营养治疗,同时进行肝素治疗(25000单位钙肝素/天)。该患者后来因严重静脉血栓形成而死亡。文中讨论了这一并发症及其预防问题。

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