【摘要】 目的探讨肝脏移植术后早期肠内营养支持的价值。方法在术中将鼻肠管放置至屈氏韧带或空肠输出拌下30 cm,术后第2天开始恒速灌注瑞素,量由500ml/d逐渐增加到1500 ml/d,速度由20 ml/h增至100 ml/h。分别于术后第2天及第8天观察患者的体重、白蛋白、前白蛋白、转铁蛋白和氮平衡。结果前白蛋白、转铁蛋白和氮平衡均有显著改善,体重、白蛋白无明显变化。结论肝脏移植术后早期肠内营养支持可以有效改善患者的营养状况和促进患者的恢复,并且可以减少患者的营养支持费用。更多还原

【Abstract】 Objective To investigate significance of early enteral nutritionin support post orthotopic liver transplantation.Methods Put nasointestinal feeding tubes to jejunum below the Treitz ligaments 30 cm.Fresubin was given via nasointestinal feeding tubes from second day after transplantation.The patient’s body weight,albumin,prealbumin,Siderophilin and nitrogen balance were measured on days 2 and 8 after liver transplantation.Results Prealbumin,Siderophilin and nitrogen balance were improved.There were no significant change in the patient’s body weight and albumin.Conclusions The early enteral nutritional support is effective after liver transplantation,it can improve the patient’s nutrition status and promote the patient’s recovery.The cost of nutrition was reduced.更多还原