ABSTRACT
Objective To investigate the effect of early enteral nutrition.Methods 248 patients with esophageal and gastric carcinoma were randomly divided into two groups,and received enteral nutrition(EN)and parenteral nutrition(PN)each continuously for 6 days after operation.The body weight,blood routine test,liver function,and postoperative day 8 were compared with those before operation.Results The body weight,red blood cell count,and the levels of hemoglobin,serum albumin and transaminase decreased less in EN group than those in PN group(P＜0.01).The complication rates of anastomotic fistula,pulmonary infection,and delayedincision healing and average volume of pleural effusion were 0,13.8%,0,780ml in EN groups,while 3.2%,28.2%,7.2%,1842ml in PN group.Conclusion Early postoperative enteral nutirtion after esophageal carcinoma surgery can improve nutritional status and reduce complications in comparision with parenteral nutrition.
ABSTRACT
Objective To investigate the relationship of ventricular and pulmonany function in preoperation,perioperation and postoperation in penumonectomies.Methods FEV 1%,FVC% and treadmill exercise test of preoperation and postoperation were compared.SPO 2 and ECG of preoperation,perioperation and postoperation also were compared.To give airway oxygen during good-lung ventilation in operation in 43 patients.Results Findings of obove mentioned markers measurement in preoperation,perioperation and postoperation at one week,three months were shown the pulmonary function of postoperation was changed appearently when FEV 1%