摘要
目的 :探讨在非手术治疗重症急性胰腺炎时营养支持治疗的作用。方法 :回顾分析 1998年 1月至 2 0 0 4年 0 1月间我院普外科收治的重症急性胰腺炎病例 ,应用三阶段营养支持的方法进行治疗的结果和并发症。结果 :5 2例应用营养支持治疗的病例中 ,治愈 4 6例 ,死亡 6例。无严重代谢及营养并发症。结论 :营养支持是治疗SAP的重要手段 ,早期以经外周静脉的TPN为主 ,随着病情的稳定 ,尽早实行EN ,对于改善肠道屏障功能和减少细菌移位有好处。
Objective:To discuss the effect of non-operational therapy about severe acute pancreatitis by nutrition support. Method: Cases of severe acute pancreatitis (SAP) which were treated by Three-step nutrition support from January, 1998 to January,2004 were reviewed and analyzed. Results:52 cases of SAP were treated by nutrition support, 46 cases were cured without severe complications of metabolism and nutrition and 6 cases were dead. Conclusion: Nutrition support is the important method in the therapy of SAP. At early stage, total parenteral nutrition was given first through the peri-veins. With the stability of patient’s condition, to carry out enteral nutrition (EN) as soon as possible is advantage to improve the protective function of intestines and reduce the dislocation of bacterium.
出处
《河北医学》
CAS
2004年第6期503-504,共2页
Hebei Medicine
关键词
重症急性胰腺炎
非手术治疗
营养支持
Severe acute pancreatitis
Non-operational therapy
Nutrition support
