口腔領域腫瘍性疾患患者に対する高力ロリー輸液の経験

概要

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Parenteral alimentation was undertaken to examine nutritional level of patients with malignant tumors (10 cases) and with ameloblastoma (one case). Procedure was carried out at the pre-and postoperative periods, during cancer chemotherapy or radiotherapy. Cases which it was impossible to continue peroral feeding were also undertaken. Among catheter complications, catheter cracking at the external-body portion (6), abnormal Position (4), thrombi formation (2) and bending in the vessel (1) were observed.<BR>As metabolic complications, there existed slight electrolyte unbalance (7 cases), slight elevation of liver enzymes such as GOT or GPT (5 cases), LDR (2 cases), and ALP (3 cases).<BR>In the comparison of 5 operated cases of parenjteial nutritional feeding with 5 gastric tube feeding cases, the reduction rate of body weight on the 16 th postoperative day against the preoperative one was less in the parenteral nutritional group than irr the gastric feeding group.<BR>Changes of serum albumin and total protein from the preoperative period to the postoperative three weeks were not constant. However the reduction value.on the third week of postoperation was equivalent in the group of parenteral nutrition and in the group of gastric tube feeding.