SU1228844A1 - Mixture for enteral probe feeding - Google Patents

Description

The invention relates to medihouche, namely gastroenterology, and concerns mixtures for enteral nutrition.

The purpose of the invention is the prevention of postoperative complications by introducing phosphoric acid monosubstituted into the mixture of sodium, sodium chloride, sodium acetate, potassium chloride, calcium chloride, starch, chicken egg protein, 20% fat emulsion Intralipid under certain proportions of components .

Example 1. Patient O., and. b N 10990, 34 years old, entered in 29 / X1 1983 with a diagnosis: duodenal ulcer, complicated by stenosis. The diagnosis was confirmed by reithology and endoscopic. Anthropometric, biochemical, and immunological studies performed a third degree of nutritional insufficiency according to the type of marasmus. As a preoperative preparation aimed at improving the nutritional status, a nutrient mixture of the following composition, g / l, was prescribed by forcible administration through a gastric tube:

Phosphoric acid

monosubstituted

sodium2,2

Sodium chloride 3.25

Acetic acid

sodium 2.41

Potassium chloride 1.36

Calcium Chloride 0.68

Starch45.0

Chicken protein

yca45.0

20% fat

emulsion Intralipid 55, 0

Distilled

water the rest

Compulsory nutrition made it possible to improve metabolism and on the 11th day after admission to the hospital, the ballroom was operated on: the stomach resection was performed according to the Billroth-P method modified by Hofmeister - Finster. In the early postoperative period, the patient's condition is severe. Intensive intravenous therapy in combination with sessions of HBO, decompression of the gastrointestinal tract and stimulating therapy allowed for

5 days after the surgery, in order to improve the plastic processes, prescribe the administration of a nutritional mixture of a given composition,

By the end of 10 days, the biochemical, immunological parameters indicated successful corrosion of metabolic disorders. Postoperative complications did not get lost. Example 2. Patient Mamedov And, And. „And. B. No. 11554, 43 years old, was admitted to the clinic on 13 / X of 1983 with a diagnosis: a tumor of the stomach. X-ray and endoscopic studies confirmed the diagnosis. Taking into account the second degree nutritional insufficiency detected by hospitalization according to the type of marasmus, the patient was started to carry out preoperative preparation using a nutritional mixture of the following composition, g / l:

Phosphoric acid. monosubstituted

sodium2.7

Sodium Chloride 3.6 Ux uscine

sodium 3, 1

Potassium chloride 1.65 Calcium chloride 0.81 Starch 55.0.

Chicken protein

Yca 55.0

20% fat emulsion Intralipid 65, 0

Distilled

water the rest

The control examination carried out after 7 days of preparation revealed positive dynamics of biochemical, immunological and anthropometric indices.

On the 12th day after admission, the patient was operated on: a gastric tumor with metastasis in the omentum was detected at the surgery — a Billot-11 stomach resection surgery was performed with a large omentum sipping. On the 5th day of the postoperative period, intragastrically the patient began to enter the nutritional mixture 55 of the above composition to improve the reparative processes. This allowed us to achieve a favorable postoperative course, and no complications were noted.

31228844

Thus, the use of mixed-distilled water;, and the infusion in acid for an enteric probe feeding solution, is brought to a boil. NIL has reduced the number of

postoperative complications up to 10%. Hot solution is poured in by 20% (compared to 28% with the use of 5 fat emulsion Intralipid,

Research Institute of nutritional known mixture). Protein chicken eggs, dissolved in

Method of preparation of the mixture. 70 ml heated to 40 s

Samples of salts are dissolved in 200 ml of distilled water. The addition of each 300 ml of distilled water and the component to the bottom is carried out at the pedt solution until boiling. A portion of the mix-stirring mixture was added; the total volume of the rastrum was dissolved in 70 ml of cold wine and brought to 1 l.

Claims (3)

. MIXTURE FOR ETERNAL PROBE FOOD, containing proteins, fats, carbohydrates, chloride salts of sodium, potassium, calcium, distilled water, characterized in that, for the prevention of postoperative complications, the mixture contains 2.2-2.7 3.25-3.6 2.41-3.1 1.36-1.65 0.68-0.81 45.0-55.0 45.0-55.0 as a carbohydrate - starch, protein - chicken egg protein, fat 20% Intralipid fat emulsion and additionally contains sodium phosphate monosubstituted and sodium acetic acid in the following resp. Homeiniii components, g / l: Phosphoric Acid Monosubstituted Sodium Sodium Chloride Acetic Acid Sodium Potassium Chloride Calcium Chloride Starch Chicken Egg Protein Intralippd 20% Fat Emulsion Distilled water 55.0-65.0 Rest