Bordos D C, Cameron J L
Arch Surg. 1975 Apr;110(4):439-41. doi: 10.1001/archsurg.1975.01360100081015.
Experience with long-term intravenous hyperalimentation in the hospital and at home in one patient over a 22-month period is reported. After multiple operative procedures the patient was left with only her stomach, duodenum, and 5 cm of the proximal part of the jejunum. During a 12-month period in the hospital, despite many life-threatening complications and with high-output intestinal fistulas, her weight increased from 40.7 kg (90 lb) to 70.1 kg (155 lb) on intravenous hyperalimentation therapy. During the past ten months, the patient has managed her intravenous feeding at home. A silicone elastomer catheter inserted into her superior vena cava through her facial vein has been used for the past ten months with no catheter sepsis. Although costly, home intravenous alimentation seems justifiable in selected patients because of the possible feasibility of bowel transplants in the near future.
本文报告了对一名患者进行为期22个月的长期静脉高营养治疗的医院及家庭治疗经验。在经历多次手术后，该患者仅剩下胃、十二指肠及空肠近端5厘米。在医院治疗的12个月期间，尽管出现了许多危及生命的并发症且伴有高流量肠瘘，但通过静脉高营养治疗，她的体重从40.7千克（90磅）增加到了70.1千克（155磅）。在过去的十个月里，患者在家中自行进行静脉营养支持。过去十个月来，一直通过经面部静脉插入上腔静脉的硅橡胶弹性体导管进行输液，未发生导管败血症。尽管费用高昂，但鉴于在不久的将来可能进行肠道移植，家庭静脉营养支持对于部分患者来说似乎是合理的。
