Objective To investigate the influence of hunger and stress on digestion. Methods 115 of the 153 miners, all males, aged (38.7±7.6)(19～ 54), who were trapped underground in the pit during the water inrush accident in Wangjialing Coal Mine on 28 March 2010 and suffered hunger and stress for 8 days, were rescued and hospitalized. Symptoms of digestive system were observed. Peripheral blood samples were collected for 7 ～ 10 days to examine the levels of aminotransferases, bilirubins, amylase, lipase, and electrolytes. Special diet regimens were developed. Results Twenty-one of the 115 miners developed abdominal discomfort or pain,and 2 developed nausea. 49.6％ of the 115 cases showed hypoalbuminia, 33.3％ of the cases showed increase of AST and/or ALT, 40.3％ showed increase of total bilirubin, and 74.5％ showed abnormality of electrolytes,including hyponatremia, hypokalemia and or hypocalcemia. Abstinence from food and water was enforced beginning from hospitalization. Two days later, liquid food was given, and then semi-liquid food, and at last starchy food was given first, and then protein and fat were added gradually. Conclusion Long-term hunger and stress cause malnutrition, hypoalbuminia, and disorders of blood biochemical indexes. Proper diet regimens and fluid therapy help recover.%目的 分析长期饥饿应激条件对消化系统的影响.方法 2010年3月28日王家岭煤矿透水事故中153名矿工,被困井下,处于断食、应激状态.8d后115例矿工获救并住院,均男性,年龄(38.7±7.6)岁(19～54岁).观察其消化系统症状,入院后连续7～10d检测转氨酶、胆红素、脂肪酶、淀粉酶、电解质等生化指标.结果 115例矿工中,21例矿工表现腹部不适和腹痛,有2例矿工表现恶心,但未有呕吐等症状;49.6% 的矿工有低白蛋白血症;33.3%的矿工丙氨酸氨基转移酶(ALT)和天冬氨酸氨基转移酶(AST)增高;40.3% 的矿工总胆红素增高;74.5%的矿工有电解质异常,表现为低钠血症、低钾血症和/或低钙血症.结论 长时间的饥饿应激可致低白蛋白血症及血生化紊乱,循序渐进的进食方案及补液治疗有助于恢复.
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