Gao Zhongmin,Kong Lin.Special segmental enteral nutrition therapy for a child with labiate intestinal fistula,severe malnutrition and depression: one case report[J].Journal of Clinical Pediatric Surgery,,19():455-460.[doi:10.3969/j.issn.1671-6353.2020.05.016]
Special segmental enteral nutrition therapy for a child with labiate intestinal fistula,severe malnutrition and depression: one case report
- CLC:
- R720.5;R574.5
- Abstract:
- Objective To summarize a case of clinical nutrition specialist management program for a child with labiate intestinal fistula,severe malnutrition and depression after traffic accident injury.Methods Before fistula operation,double suction drainage and intravenous doses of somatotropin and somatostatin were performed.According to the psychological characteristics of post-traumatic depression,the preoperative appetite for food (limited semi-liquid diet) was satisfied.Food residues were collected and removed from fistula while individualized enteral nutrition solution was intermittently infused through distal jejunal nutrition catheter for segmental enteral nutrition support.After fistula closure,normal diet gradually resumed.During treatment period,parenteral nutrition support was actively supplemented and digestive tract,body weight and nutrition-related biochemical parameters were continuously monitored.And nutrition program was adjusted periodically.Results As his depression inventory score dropped from 31 to 14,his psychological state gradually stablized,the degree of cooperation gradually improved,body weight gained steadily and then fistula was closed smoothly.Nutritional status further improved after fistula closure and he was discharged smoothly.Conclusion According to the psychological characteristics of and new gastrointestinal anatomical structure after injury,individualized enteral and parenteral nutrition programs may ensure the compliance and efficacy at the same time.
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收稿日期:2019-08-15。
通讯作者:孔粼,Email:179424871@qq.com