目的总结肠瘘病人肠外营养的治疗经验及体会。
Objective To summarize experience of parenteral nutritional(PN) support in the management of gastrointestinal fistulas.
结果脾损伤与胃癌根治术，胃十二指肠手术，结肠造瘘术等有关，纤维肠镜和心肺变苏时也可引起脾损伤。
Results The causes of iatrogenic splenic injury included undergoing an operation of gastric carcinoma and duodenal ulcer. Colonoscopy and cardiopulmonary resuscitation were also risk factors.
术后1例发生肠漏，经再次手术行结肠近端造瘘治愈。1例死亡。
Postoperatively, 1 case had anastomotic leak which healed after reoperation with proximal colostomy, and one patient died.
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