【摘要】 目的 :评估针刺导管空肠造口 (NCJ)肠内营养 (EN)在腹部大手术中的应用效果和安全性。　方法 :对 14 0例全胃切除术、近端胃大部切除术和其他复杂腹部手术病人实施NCJ,并通过NCJ进行EN。　结果 :大多数病人能耐受NCJ和EN ,腹胀、腹泻、导管堵塞或脱落是其主要的并发症。　结论 :NCJ的适应证是腹部大手术 ,尤其适用于上消化道手术 ,也适用于预期术后恢复困难、长期不能进食、营养不良及高代谢病人。通过细致监测病人腹部体征 ,大多数并发症可以预防更多还原

【Abstract】 Objectives:Safety and efficacy of the needle catheter jejunostomy(NCJ) are evaluated in patients with major abdominal operation. Methods:140 cases received enteral nutrition with chemically defined diet by NCJ after total gastrectomy,proximal subtotal gastrectomy and other complex abdominal operations. Results:Most patients tolerated enteral feeding very well.Abdominal distention,diarrhea,catheter occlusion or dislodgment were main complications. Conclusions:Indication for NCJ is as an additional procedure during major abdominal surgery.It can also be used in patients in whom a complicated postoperative recovery is expected,with a prolonged fasting period, malnutrition or a hypercatabolic state.更多还原