摘要
目的通过对15例重症急性胰腺炎（SAP）病人进行早期肠内营养支持，探讨SAP时早期肠内营养的可行性、安全性及有效性。方法对普通外科2002年4月至2005年6月15例SAP病人在入院3—5d时放置空肠螺旋管，在到达空肠后，进行肠内营养支持。观察病人的一般情况、营养状况、免疫功能及并发症的发生率等。结果11例病人在置管2～3d后到达空肠，3例置管第4天时在X线透视辅助下置入空肠，1例在置管第4天时由内镜辅助下进入空肠。所有病人对早期肠内营养耐受良好，无胰腺炎加重，而且肠内营养开始后1—2周营养状况及免疫功能与营养支持前比较明显好转，无胰腺坏死组织继发感染的发生。结论对SAP讲行早期肠内营养支持县可行。
Objective To evaluate the feasibility, safety and validity of the early enteral nutrition in severe acute pancreatitis （ SAP ）. Methods 15 patients of SAP during April 2002 to June 2003 received early enteral nutrition through naso - jejunal tube. The nutrition immune index and the rates of complications were analyzed. Results On 2 - 3 days after nutrition tube placed to stomach, the tube heads in 11 cases reached the jejunum automatically,while 3 cases needed the help of X - ray and 1 case needed the help of gastroscopy. All of 15 cases tolerated the enteral nutrition well,and there was no relapse of SAP. The nutrition and immune measurement were improved after 2 weeks enteral nutrition ,without infection of pancreatic necrosis. Condusions The early enteral nutrition through naso - jejunal tube is safe, efficient and feasible in severe acute pancreatitis. Early enteral nutrition can improve the nutrition, immune function and prognosis.
出处
《中国厂矿医学》
2006年第2期102-103,共2页
Chinese Medicine of Factory and Mine
关键词
胰腺炎
重症急性
早期
肠内营养
Severe acute pancreatitis
Early
Enteral nutrition
