文档介绍：第15 卷第3 期医学研究生学报 Vol . 15 No. 3
2002 年6 月 Journal of Medical Postgraduates Jun. 2002
·论著·
早期胃肠营养预防老年人严重烧伤后胃肠道并发症
姜会庆, 胡心宝, 解伟光, 陈一飞
(南京军区南京总医院烧伤整形科,江苏南京210002)
摘要: 目的:回顾性分析32 例老年严重烧伤后胃肠道并发症的防治。方法:分析本院1980~2001 年共收治的
老年烧伤患者130 例,其中严重烧伤32 例,均施行早期胃肠营养支持,并了解休克期与感染期消化系统严重并发症
的情况。结果:32 例中除2 例因败血症死亡外均治愈,无一例发生胃肠道应激性溃疡大出血。结论:老年严重
烧伤早期在抗休克治疗的同时施行早期胃肠营养支持,重视蛋白质补充,可预防胃肠道应激性溃疡大出血的并发
症。
关键词: 老年严重烧伤; 早期胃肠营养; 胃肠道应激性溃疡大出血
中图分类号: R644 文献标识码: A 文章编号: 100828199 (2002) 0320261202
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Prevention of plications by early enteral feeding
in serious burned old patients
J IANG Hui2qing , HU Xin2bao , XIE Wei2guang , CHEN Yi2fei
(Department of Burns and Plastic Surgery , Nanjing General Hospital of mand , Nanjing 210002 , Jiang2
su , China)
Abstract : Objectives :Retrospective analysis of serious plications from 32 cases seriously
burned old patients. Methods :Analyzing plications from 32 seriously burned old patients
with early enteral feeding. Results : No one suffered from serious gastrointestinal bleeding in the shock stage
or infectious stage except 2 deaths for septicemia. Conclusions : Early enteral feeding for serious burned old
patients may prevent gastrointestinal bleeding. While antishock therapy must be provided at the same time.
Key words : Serious burned old patients ; Early enteral feeding ; Serious gastrointestinal bleeding
0 引言
老年人随年龄的增长,正常胃肠粘膜及小肠绒
毛已出现不同程度退变、萎缩,胃