Willig F, Schmidt F H, Trede M, Kersting K H, Singer R, Urban V
Med Klin. 1976 Jun 4;71(23):999-1003.
A report is presented on the postoperative treatment of 4 patients who had undergone duodeno-pancreatectomy because of chronic pancreatitis. When the patients co-operate well satisfactory metabolic compensation can be achieved with small doses of insulin. Replacement of the pancreatic enzymes with the appropriate preparations can be particularly well monitored by means of the fat content of the faeces. The substitution of vitamins A, D, K, and B12 parenterally at intervals of several weeks is also advisable as a safety measure. A method is described for the closely meshed monitoring of the blood sugar. This method is suitable in co-operative patients who are capable of collecting capillary blood for achieving a particularly good control of the metabolic state.
本文报告了4例因慢性胰腺炎接受十二指肠胰腺切除术患者的术后治疗情况。当患者配合良好时，小剂量胰岛素即可实现令人满意的代谢代偿。通过粪便中的脂肪含量，可特别有效地监测用适当制剂替代胰酶的情况。作为一种安全措施，每隔几周进行一次维生素A、D、K和B12的胃肠外替代也是可取的。文中描述了一种密切监测血糖的方法。这种方法适用于能够采集毛细血管血的配合良好的患者，以实现对代谢状态的特别良好控制。
