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肠瘘是指肠管与其他空腔脏器、体腔或体表间存在异常通道,肠内容物经此通道进入其他脏器、体腔或至体外,肠瘘为术后严重的并发症之一,以吻合口瘘多见,由于吻合口瘘患者肠液丢失、胃肠功能不良,因而易致水电解质和酸碱平衡失调、营养代谢紊乱、腹腔内感染等并发症发生~([1])。随着对感染控制、器官功能维护与营养支持技术的进步,治疗方案从早期手术转变为早期充分引流及早期肠内营养支持。真菌性肺炎和失
Intestinal fistula refers to the intestine and other hollow organs, body cavity or body surface abnormal passage, the intestinal contents through this channel into other organs, body cavity or in vitro, intestinal fistula is one of the serious postoperative complications to Anastomotic fistula more common, due to intestinal fluid loss in patients with anastomotic leakage, gastrointestinal dysfunction, which is prone to cause water and electrolyte imbalance and acid-base balance, nutrition and metabolic disorders, intra-abdominal infections and other complications occurred (1). With advances in infection control, organ function maintenance and nutritional support technology, treatment options have shifted from early surgery to early full drainage and early enteral nutrition support. Fungal pneumonia and loss