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危重症及外科手术患者的长期鼻胃管喂养

Prolonged nasogastric tube feeding in critically ill and surgical patients.

作者信息

Woolfson A M, Saour J N, Ricketts C R, Pollard B J, Hardy S M, Allison S P

出版信息

Postgrad Med J. 1976 Nov;52(613):678-82. doi: 10.1136/pgmj.52.613.678.

Abstract

Fifteen patients with varying diagnoses were fed via nasogastric tubes for between 7 and 41 days using a feed consisting of Caloreen (a glucose polymer) and Albumaid (a beef serum hydrolysate) with vitamin and mineral supplements. The feed proved nutritionally adequate and relatively free of complications. Diarrhoea was seen only in those patients receiving antibiotics by the nasogastric route. Codeine phosphate abolished this symptom in all patients. The constant drip method of administration proved efficient and time saving. Unlike prepacked preparations, the feed could be varied in composition to suit the clinical situation. This was of particular advantage in the intensive care context. The feed was relatively inexpensive.

摘要

15名诊断各异的患者通过鼻胃管喂食7至41天,所用食物由卡洛林(一种葡萄糖聚合物)和白蛋白(一种牛肉血清水解物)组成,并添加了维生素和矿物质补充剂。结果证明这种食物营养充足且相对无并发症。腹泻仅见于那些通过鼻胃管接受抗生素治疗的患者。磷酸可待因消除了所有患者的这种症状。持续滴注给药法证明高效且节省时间。与预包装制剂不同,这种食物的成分可以改变以适应临床情况。这在重症监护环境中具有特别的优势。这种食物相对便宜。

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本文引用的文献

1
DESIGN OF TUBE FEEDS FOR SURGICAL PATIENTS.外科患者管饲的设计
Br Med J. 1963 Oct 12;2(5362):909-13. doi: 10.1136/bmj.2.5362.909.
3
Maintenance of metabolism during intensive patient care.重症患者护理期间的代谢维持。
Postgrad Med J. 1967 Apr;43(498):317-38. doi: 10.1136/pgmj.43.498.317.
4
Tissue fuel and weight loss after injury.损伤后的组织能量来源与体重减轻
J Clin Pathol Suppl (R Coll Pathol). 1970;4:65-72. doi: 10.1136/jcp.s3-4.1.65.
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New jejunostomy feed.新的空肠造口喂养
Br Med J. 1973 Sep 22;3(5881):609-12. doi: 10.1136/bmj.3.5881.609.

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