FIELD: medicine.
SUBSTANCE: invention refers to medicine, namely to abdominal surgery, resuscitation and intensive care, and can be used for enteral rehydration after surgery in patients with acute intestinal obstruction. Solution influencing the water-electrolyte balance is administered through a nasogastric probe to a patient with acute intestinal obstruction immediately after surgery, and the amount of probe discharge is monitored. On the first day, the solution is administered bolus every 10 minutes, in first 2 hours after the operation – 10 ml, in next 4 hours – 12 ml, in following 13 hours after the operation – 14 ml. On the second and third postoperative day, the solution is administered to the patient through an infusion pump at rate of 70 ml/h. Every 2 hours, gastric decompression is performed, and the amount of probe discharge is monitored. If the volume is more than 50 % of the volume of the solution introduced during this time, then on the first day the volume of the bolus introduction of the solution is reduced by 2 times, on the second and third days the rate of its introduction is reduced by 2 times. Therapeutic course is 3 days. Maximum daily dose of the introduced solution affecting the water-electrolyte balance is 1500 ml.
EFFECT: method provides reducing the length of intestinal peristalsis recovery, reducing the amount of probe discharge, accelerating the onset of adequate nutrition, reducing the rate of purulent-septic complications due to the combination of techniques of the claimed invention.
1 cl, 3 ex
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Authors
Dates
2025-03-14—Published
2024-07-19—Filed