儿童超短肠综合征治疗分析.

From January 2015 to February 2021, retrospective review was conducted for 24 USBS infants. Clinical characteristics, treatments and outcomes were recorded. There were 17 boys and 7 girls with a gestational age of (26-39+5) week and a range of birth weight (720-3 600) gram. The infants were premature (n=20) and full-term (n=4). Results Among them, 7 infants of temporary USBS were discharged upon completing short-term nutritional therapy after closing stoma; 7/17 infants of non-temporary USBS were weaned off parenteral nutrition to achieve intestinal adaptation; 5/17 relinquished further treatments during operation; 5/17 required continued parenteral nutrition. Among 19 survivors, there were intravenous nutrition-related cholestasis (n=9), catheter infection (n=9), acquired zinc deficiency dermatitis (n=3), vitamin D deficiency (n=6) and metabolic bone disease (n=2). All symptoms improved after symptomatic measures. Conclusions It is rather troublesome to manage USBS children and there are numerous complications. After proper treatments, some infants may finally achieve intestinal adaptation without parenteral nutrition. [ABSTRACT FROM AUTHOR]