课件：短肠综合征.pptx

短肠综合征Short bowel syndrome 普外17区 杨波SBS概念短肠综合征（ Short bowel syndrome ，简称SBS）是由于各种原因行广泛小肠切除后，小肠消化、吸收面积骤然显著减少，残余肠道无法吸收足够的营养物质以维持患者生理代谢需要，而导致整个机体处于营养不足、水电解质紊乱的状况，继而出现器官功能衰退、代谢功能障碍、免疫功能下降，由此而产生的系列综合征黎介寿. 成人短肠综合征的治疗进展. 肠外与肠内营养. 2005.流行病学残存小肠多长方能诊断SBS争议较大文献报道从50-200cm不等Goulet O, Baglin-Gobet S, Talbotec C，et al.Outcome and long-term growth after extensive smallbowel resection in the neonatalperiod: a survey of 87 children［J］. Eur J Pediatr Surg,2005, 15(2):95-101Wales PW, Christison-Lagay ER.Short bowel syndrome: epide-miology and etiology［J］.Semin Pediatr Surg, 2010,19(1):3-9南京军区总医院SBS标准短肠综合征分为短肠综合征和超短肠综合征成年人短肠综合征 有回盲瓣，小肠长度≤100cm 无回盲瓣，小肠长度≤150cm成年人超短肠综合征 有回盲瓣，小肠长度≤35cm 无回盲瓣，小肠长度≤75cm病因：导致成人SBS的原因急性肠梗阻、急性肠扭转（41.4%）*急性肠系膜血管缺血性疾病AMI（31.8%）*CD（6.8%）*、放射性肠病变、腹部外伤、肠道原发或继发肿瘤医疗失误在消化性溃疡治疗中将胃-回肠吻合造成短路?5:9797/kcms/detail/search.aspx?dbcode=CJFQsfield=auskey=%e6%9d%8e%e5%b9%bc%e7%94%9fcode00000108059665042034697725052463李幼生；?5:9797/kcms/detail/search.aspx?dbcode=CJFQsfield=auskey=%e6%9d%8e%e5%ae%81code00000108059665042034697725052463李宁；?5:9797/kcms/detail/search.aspx?dbcode=CJFQsfield=auskey=%e6%9d%8e%e5%85%83%e6%96%b0code00000108059665042034697725052463李元新；?5:9797/kcms/detail/search.aspx?dbcode=CJFQsfield=auskey=%e4%bb%bb%e5%bb%ba%e5%ae%89code00000108059665042034697725052463任建安；?5:9797/kcms/detail/search.aspx?dbcode=CJFQsfield=auskey=%e6%9c%b1%e7%bb%b4%e9%93%adcode00000108059665042034697725052463朱维铭；?5:9797/kcms/detail/search.aspx?dbcode=CJFQsfield=auskey=%e8%b5%b5%e5%85%81%e5%8f%accode00000108059665042034697725052463赵允召；?5:9797/kcms/detail/search.aspx?dbcode=CJFQsfield=auskey=%e7%8e%8b%e5%89%91code00000108059665042034697725052463王剑；?5:979