早期口服水化在患有高皮内囊的患者
Miloslav Mišánik1, Marek Smolár1, Martin Grajciar1
1Clinic of General, Visceral and Transplant Surgery, Jessenius Faculty of Medicine, Comenius University in Bratislava, University Hospital Martin, Martin, Slovak Republic.
Neuro endocrinology letters
|October 24, 2023
概括
口服补水疗法可以通过优化液体和电解质平衡来管理皮内囊. 限制低压液体和使用异体积溶液有助于囊闭塞和患者舒适.
科学领域:
- 胃肠病学 胃肠病学
- 外科手术患者管理
背景情况:
- 肠皮 (ECF) 是肠道和皮肤之间的异常连接.
- 最初的治疗包括败血症控制,营养支持,伤口护理和液体更换.
研究的目的:
- 审查口服补水疗法 (ORT) 管理ECF的原则.
- 讨论流体组成在管管理中的作用.
主要方法:
- 概述ORT及其在ECF中的应用.
- 通过-葡萄糖连接载体1 (SGLT1) 吸收液体和电解质的解释.
主要成果:
- 低压体液 (水,茶) 的摄入量应限制在每天500毫升.
- 剩余的流体损失必须用异体积溶液补偿.
- 如果耐受,ORT可以在整个治疗过程中保持,从而改善患者的舒适度.
结论:
- 通过减少低血压液体和增加异体积溶液来改变液体摄入量,可以减少管输出.
- 这种方法支持自发的囊闭合.
- 有效的ORT有助于改善患者在ECF治疗期间的治疗结果和舒适度.
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