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恶性肠梗阻姑息治疗20例体会

Palliative Care for 20 Patients with Malignant Bowel Obstruction
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摘要 目的探讨生长抑素、糖皮质激素联合肠外营养支持等综合治疗措施对恶性肠梗阻患者的治疗价值.方法回顾总结了2006年2月至2010年5月间收治的20例恶性肿瘤并发肠梗阻患者的治疗结果.结果 20例患者中8例疗效良好,12例症状缓解明显,继续肠外营养支持治疗,生活质量明显改善.结论采取胃肠减压,并以生长抑素、糖皮质激素、止吐药和止痛药,联合肠外营养支持的非手术治疗,对大肠癌并恶性肠梗阻患者的疗效好,患者生活质量明显改善,无毒副反应. Objective To study the effect of comprehensive treatment methods,such as somatostatin,glucocorticoid and parenteral nutrition support on malignant bowel obstruction patients.Method Retrospective analysis was carried among 20 patients with malignant bowel obstruction from February 2006 to May 2010.Results 8 patients got satisfied therapeutic effect.12 patients' symptoms were significantly alleviated,the 12 patients were continually given parenteral nutrition therapy,then the life quality was improved significantly.Conclusion Gastrointestinal decompression,somatostatin,glucocorticoid,antiemetic drug,analgesic and parenteral nutrition support would be effective in treatment of malignant bowel obstruction patient without toxicity,and can improve significantly the life quality of patients.
作者 肖文杰
出处 《昆明医学院学报》 2010年第10期71-74,共4页 Journal of Kunming Medical College
关键词 恶性肠梗阻 生长抑素 糖皮质激素 姑息治疗 Malignant bowel obstruction Somatostatin Glucocorticoid Palliative care
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