【摘要】 目的探讨严重烧伤合并肠系膜上动脉压迫综合征患者的临床治疗方法。方法将保定市第五医院于2010年8月至2012年5月收治的28例严重烧伤合并肠系膜上动脉压迫综合征患者按就诊单双号分成观察组和对照组各14例。观察组患者应用空肠置管内营养支持为主、静脉营养为辅的治疗方法,对照组患者应用静脉营养支持为主、口服营养为辅的治疗方法。对比分析两组患者压迫症状的消失时间、血红蛋白和血清蛋白的恢复及胃肠道功能的恢复时间,患者烧伤创面的修复及并发症的情况等。结果观察组的压迫症状消失时间(43±7)h、创面平均愈合时间(37±17)d、正常进食的恢复时间(61±13)h均显著短于对照组的(73±25)h、(48±22)d、(122±37)h;观察组检出2例创面细菌,显著少于对照组的6例创面细菌,其他并发症的发生情况;对照组2例血液细菌、4例静脉炎、2例肠道感染、1例胃溃疡、1例脏腑功能不全,观察组均无此并发症的发生;术后7~14 d观察组血红蛋白和血清蛋白显著高于对照组,各组数据比较差异有统计学意义(P<0.05)。结论空肠置管肠内营养可有效地治疗严重烧伤合并肠系膜上动脉压迫征。更多还原

【Abstract】 Objective To discuss the clinical treatments for severe burn with superior mesenteric artery syndrome. Methods A total of 28 cases of severe burns combined superior mesenteric artery syndrome from Baoding Fifth Hospital during Aug. 2010 and May 2012 were divided into the observation group and control group of 14 cases each according to the odd and even number of registration. The observation group was given the jejunal tube nutrition-based,supplemented by parenteral nutrition therapy; the control group was given intravenousnutritional support based,supplemented by oral nutrition therapy. Compression symptoms disappearance time,hemoglobin and serum protein recovery and gastrointestinal function recovery time,burn wound repair and complications of the two groups were comparatively analyzed. Results Compression symptoms disappearance time of the observation group was( 43 ± 7) h,average wound healing time was( 37 ± 17) d,normal eating recovery time( 61 ± 13) h,all significantly shorter than the control group( 73 ± 25) h,( 48 ± 22) d,( 122 ±37) h; observation group had 2 cases of wound bacteria,significantly less than the control group’s 6 cases,as for other complications: 2 cases of blood of bacteria,4 cases of phlebitis,2 cases of intestinal infections,1 case of gastric ulcer,and 1 case of organs dysfunction occurred in the control group,while no such complications appeared in the observation group; postoperative 7-14 d hemoglobin and serum protein of observation group was significantly higher than the control group with statistically significant difference( P <0. 05). Conclusion Jejunal tube enteral nutrition can effectively treat severe burn complicated with superior mesenteric artery syndrome.更多还原