岭南现代临床外科2026,Vol.26Issue(2):125-130,6.DOI:10.3969/j.issn.1009-976X.2026.02.008
脑死亡患者早期肠内营养不耐受与肠道缺血坏死:3例病例报告及文献复习
Early enteral nutrition intolerance and intestinal ischemic necrosis in brain-dead patients:a case report of 3 cases and literature review
摘要
Abstract
Brain-dead patients are a significant source for organ transplantation,but complications such as intestinal ischemia and necrosis often affect organ quality.This study retrospectively analyzed the clinical data of three patients who became brain-dead following brain injuries due to different etiologies.All three patients rapidly developed severe enteral nutrition intolerance after early initiation of enteral nutrition,and subsequent organ procurement surgeries confirmed varying degrees of intestinal ischemic necrosis.The occurrence of severe intolerance following early enteral nutrition in brain-dead patients may signal the presence of intestinal ischemia and necrosis.Clinicians should be vigilant regarding such signs,promptly assess intestinal perfusion and structural damage,and further research is needed in the future to optimize nutritional support strategies for brain-dead patients and improve the quality of organs obtained.关键词
肠道缺血再灌注损伤/早期肠内营养/脑死亡患者管理Key words
intestinal ischemia-reperfusion injury/early enteral nutrition/management of brain-dead patients分类
医药卫生引用本文复制引用
郝铭泽,王宁,丘小红,郝鹏,何清..脑死亡患者早期肠内营养不耐受与肠道缺血坏死:3例病例报告及文献复习[J].岭南现代临床外科,2026,26(2):125-130,6.基金项目
吴阶平医学基金会(320.6750.2022-02-23) (320.6750.2022-02-23)
广东省医学科研基金项目(A2026232) (A2026232)