The front and back nutrition of surgery of gastric carcinoma supports _'s treatment

The front and back nutrition of surgery of gastric carcinoma supports _'s treatment
In order to prevent tumour from sowing scatteredly at the time of the skill, reduce infecting with and emergence of other complications and resolving of postoperative endogenous body albumen of reduction, should deal with three following respects:
(1) Antibiotic is prepared
1,The intestine are prepared
Begin oral antibiotic before the operation on the the afternoon of the first: 1 gram of kanamycin adds 0.2 grams of metronidazole time, amounts to 5 times, finish between 1-10 o'clock in the afternoon. The operation did fresh water enema at 8 o'clock the evening before yesterday. Wash the stomach or esophagus with the physiological saline every night from must there are persons who obstructs symptom three days before the skill.
2,Prepare all over
The operation was intravenous at 8 o'clock the evening before yesterday to instil antibiotic.
The vein is instilled: Amber acyl chloromycetin is 0.5 grams
80,000 units of gentamicin
500 ml for 5% of the glucose parenteral solution
Repeat the above-mentioned dosage once again in 30-40 minutes before the operation begins, usufruct keeps certain blood density.
(2) Application of chemotherapy
When the operation begins, injection 5 - FU in the stomach tube, 15-30 milligrams kilogram.
Offer 5 - FU continuously in postoperative first to three days, 15-20 milligrams kilogram, the vein is instilled to add the liquid of glucose.
(3) Nutrition is supported
Develop issues of gastric carcinoma patient have a at various degrees one to be malnutritive more, including weight drop and low albuminous the intersection of blood and disease and immunological function fail etc., thus influence it to the operation, tolerance and postoperative recovery of chemotherapy. Reduce the consumption of the body albumen for the malnutritive state before improving or correcting the skill, can do the malnutritive one before operation, back nutrition support.
1,Before the skill
According to having conditions now, regard crystalline amino acid mixed solution as nitrogen source, ooze parenteral solution of glucose as the hot card source high. Besides oral diet, according to 0.15-0.25 grams of nitrogen kilogram of every day, 30-40 calories kilogram are offered, add right amount of insulin and electrolyte. Sow the tube and drip the ocean through being deep and intravenous, lasts one week, it is balanced to make it close to straight nitrogen.
2,Postoperative
Begin to continue for the nutrition support of the skill dosage on postoperative first day, 1-2 weeks, achieve the goal of it is balanced to lighten and will be defeated by nitrogen and resumed straight nitrogen balancedly and as soon as possible ^ing.

|