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目的 :探讨全肠道外营养 (TPN)在食管癌术后乳糜胸治疗中的作用。方法 :对 9例食管癌术后乳糜胸患者进行保守治疗。分为TPN组和对照组。TPN组患者热量和卡氮比根据Harris Benedict公式计算基础能量消耗(BEE) ,经修正后确定代谢能量消耗 (MEE)。并监测氮平衡、体重、引流量等。对照组采取常规静脉输液或肠道内营养 (EN)。其它治疗两组相同。结果 :TPN组的平均乳糜丢失量 2 5 3ml/日 ,治愈时间平均 15 .4天 ,而对照组分别为412ml/日和 2 3.2天。统计学P值 <0 .0 1。结论 :TPN治疗乳糜胸不仅为患者提供全面营养 ,并减少淋巴液丢失量 ,为乳糜胸愈合创造条件。
Objective: To explore the role of total parenteral nutrition (TPN) in the treatment of chylothorax after esophageal cancer surgery. Methods : Conservative treatment was performed on 9 cases of chylothorax after esophageal cancer surgery. Divided into TPN group and control group. The caloric and caloric ratios of patients in the TPN group were calculated based on Harris Benedict’s formula for basic energy expenditure (BEE) and modified to determine metabolic energy expenditure (MEE). And monitor nitrogen balance, body weight, drainage and so on. The control group received conventional intravenous infusion or enteral nutrition (EN). The other treatments are the same in both groups. RESULTS: In the TPN group, the average amount of chyle loss was 255 ml/day, and the average healing time was 15.4 days, compared with 412 ml/day and 23.2 days in the control group. Statistical P value < 0.01. Conclusion : TPN treatment of chylothorax not only provides patients with complete nutrition, but also reduces the amount of lymphatic fluid loss and creates conditions for the healing of chylothorax.