RESUMEN
A case of malabsorption syndrome (organic wasting, hypokaliaemia, metabolic acidosis, diarrhoea, hypochromic anaemia) following removal of 4 m of ileus for thrombophlebitis of the mesentery is described. In the first seven months, the patient was hospitalised five times to correct these imbalances by means of PA, with repeated venous incannulation. PA was continued at home each evening, together with heparin therapy (25,000 U calcic heparin/day). The patient later died following the appearance of serious venous thrombosis. The question of this complication and its prevention is discussed.
Asunto(s)
Síndromes de Malabsorción/terapia , Nutrición Parenteral/efectos adversos , Síndrome del Intestino Corto/terapia , HumanosRESUMEN
A critical assessment is made of cases of ARF observed in a resuscitation department over the last three years. Reference is made to the physiopathological and pharmacological premises underlying the employment of a different therapeutic protocol, based on the maintenance of high diuresis with proxazol and the use of TPA to establish a nitrogen balance with a high cal/N ratio, coupled with the administration of histidine.