肠内肠外营养

第五十八章 肠内肠外营养

1.God created man with a mouth, a stomach and gut, not a TPN line.

—— Moshe Schein

【译文】上帝赐予我们一张嘴,一个胃,一条肠,而不是一条TPN(全胃肠外营养)输液管。

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2.In every disease it is a good sign when the patient's intellect is sound, and he is disposed to take whatever food is offered to him; but contrary is bad.

—— Hippocrates, 460——377 BC

【译文】无论什么病,如果患者思维正常、能吃能喝就是好兆头,反之就大事不好。

3.The best physicians are Dr.Diet, Dr.Quiet and Dr.Merryman.

【译文】合理饮食、平静与快乐的心情是最好的医生

4.Some people never seem able to allow their patients to use the channels designed by nature to receive nourishment … food and fluids given by the alimentary canal allow the tissues to select and keep what they want, and to reject what is harmful or surplus to requirements.

—— William Heneage Ogilvie, 1887——1971

【译文】有些医生似乎从来不打算让他的患者经由这条与生俱来的消化道补充营养……经消化道补充食物和液体,机体可选择其所需要的保留下来,拒绝有害或多余的。

【点评】“择其所需,摒弃冗余”是肠内营养独特的优势,当然也要考虑有无吸收不良的可能。

5.If I need grape sugar, give it to me through the mouth! Why this twentieth century gimmick? Why should every medicine be given by injection? You do not see anything similar in nature or among animals, do you? In a hundred years' time they'll laugh at us and call us savages …

—— Alexander Solzhenitsyn(https://www.daowen.com)

【译文】如果我需要葡萄糖就口服嘛!为什么会有这个20世纪的花招呢?为什么每种药都要注射给药呢?大自然或动物界都没见这样干的啊,你见过吗?百年后会有人嘲笑我们,称我们为野蛮人……

【点评】尽管这是《癌病房》作者——俄罗斯知名作家索尔仁尼琴的一句“愤青吐槽”,但的确指出了现代医学“注射术”泛滥成灾的现状。否则,今天我们各级卫生主管部门就没有必要三番五次地颁布“减少静脉输液”的禁令了。

6.In most conditions, foods that agree with the patients may be eaten, those which do not, should not be eaten.

—— Mark M.Ravitch, 1910——1989

【译文】大多数情况下,你完全可以让患者食其所好,拒其所恶。

7.To eat is human, to digest divine.

—— Charles T.Copeland, 1860——1952

【译文】能吃是人,能消化是神。

【点评】想吃是人的欲望,能正常消化吸收是人整体功能正常的重要标志,是神的恩赐。

8.Do you mean that you start your patients on a clear liquid diet and then progress to a full liquid diet before a regular diet? If so, this a silly practice that should be ceased.It is all soil shit when it goes through the anastomosis so who cares how it starts.

—— Karen Draper

【译文】你的意思是在开始常规饮食之前先让你的患者进清流质饮食,然后再过渡到完全的流食?其实,这是一个应该终止的愚蠢做法,因为所有食物通过吻合口时,都是食糜,谁在乎它入口时是啥样子的。

9.There is no way a patient is going to eat a hole in the anastomosis.

—— P.O.Nystrom

【译文】患者绝不可能在吻合口上吃出个洞来。