与空肠管饲相关的小肠坏死
Small-bowel necrosis associated with jejunal tube feeding.
作者信息
Lawlor D K, Inculet R I, Malthaner R A
机构信息
Division of Thoracic Surgery, University of Western Ontario, London Health Sciences Center.
出版信息
Can J Surg. 1998 Dec;41(6):459-62.
OBJECTIVES
To report 3 cases of small-bowel necrosis after jejunal tube feeding and to review the literature concerning this condition.
DESIGN
A 5-year retrospective review.
SETTING
A 560-bed university-affiliated tertiary-care teaching hospital.
PATIENTS
Three patients who had bowel necrosis out of 386 who received jejunal tube feedings.
RESULTS
The patients experienced small-bowel necrosis as a consequence of jejunal feeding. The ischemic necrosis was preceded by progressive abdominal pain, distension and high nasogastric output. All 3 patients required extensive small-bowel resection. Although survival was rare in previous reports, our 3 patients survived after prompt surgical intervention and small-bowel resection.
CONCLUSIONS
Although the death rate for this condition approaches 70%, timely recognition and surgical intervention can save the patient's life.
目的
报告3例空肠管饲后小肠坏死病例，并复习有关该病症的文献。
设计
一项为期5年的回顾性研究。
地点
一家拥有560张床位的大学附属三级护理教学医院。
患者
386例接受空肠管饲患者中有3例发生肠坏死。
结果
这些患者因空肠管饲发生小肠坏死。缺血性坏死之前有进行性腹痛、腹胀和大量鼻胃管引流。所有3例患者均需广泛小肠切除。尽管既往报道中存活率很低，但我们的3例患者经及时手术干预和小肠切除后存活。
结论
尽管该病症的死亡率接近70%，但及时识别和手术干预可挽救患者生命。
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