METHOD OF PERIOPERATIVE NUTRITIONAL SUPPORT OF PATIENTS AT DESTRUCTIVE FORMS OF ACUTE CALCULOUS CHOLECYSTITIS

摘要

FIELD: medicine.;SUBSTANCE: spend intraintestinal feeding through a probe. Thus in the beginning, define energy needs of the patient on Harris-Benedikt equation with preparation of a nutritious mix 15-20 minutes prior to fractional manual introduction through earlier established naso-duodenal single-channel silicon tube in diameter of 0.8 cm in the bottom horizontal branch of the dodecadactylon of the 1st part of the calculated daily volume of a mix a Janet's syringe within 10 minutes after carrying out cholecystectomy before installation of drainages in a belly cavity. And introduction of the remained 7 parts of the calculated daily volume of a nutritious mix by a Janet's syringe within 10 minutes is spent with an interval of 3 hours per the first days after operation through earlier established probe under the control of a quantitative estimation of the condition of adoption of a nutritious mix using the method of active aspiration by a Janet's syringe before each next introduction of a mix. Thus after introduction of last 8th part of a nutritious mix, remove the tube and since 2 days after operation start to feed the patient per os.;EFFECT: improvement of results of surgical treatment of patients, stimulation of indicators humoral immunity, early restoration of a motility of a gastrointestinal tract, decrease in quantity of postoperative complications.;1 tbl, 1 ex