摘要
作者报告，自１９８８年以来，重症胰腺炎营养支持方法的改进主要是使用低热卡（＜１４６ｋＪ／ｋｇ·ｄ）高氮（０．２５～０．４ｇ／ｋｇ·ｄ），术后２周内采用白蛋白或血浆强化的ＴＰＮ支持方法。将按这种改进方法进行治疗的２３例（Ｂ组）与１９８８年以前的２０例（Ａ组）进行比较。结果发现，尽管Ｂ组的病情明显重于Ａ组，但两组术后并发症的发生率和手术死亡率均无明显差异。Ｂ组纠正低蛋白血症所需的时间明显短于Ａ组。作者认为采用适量脂肪乳剂供能（糖脂比４：６～５：５），使用高支链氨基酸液与适当延长病情较重病人的ＴＰＮ支持时间也是非常重要的。
ince 1988, 23 severe acute pancreatitis received total parenteral nutrition (TPN) with modification consisting of provision of lower calorie (<146kJ/d) andhigher nitrogen (0. 25￣0. 4g/kg. d), while the extremely ill patients were treated with longer TPN.The results of this group of patients (Group B) werecompared with the original 20 ones (Group A) treatedbefore 1988. According to Ranson's prognostic signs,the seventy of the patients illness in group B wasmore severe than group A, but there was no differencein morbidity and mortality as well as the mean hospital stay. With the albumin intensified TPN, the hypoalbuminemia of patients in group B can be correctedearlier than the patients in group A. Besides, we observe no harmful effect of fat emulsion which providedthirty percent of nonprotein calorie.
出处
《中国实用外科杂志》
CSCD
1995年第6期350-352,共3页
Chinese Journal of Practical Surgery
关键词
胰腺炎
胃肠外营养
营养需要量
营养障碍
疗效
pancreatitis, parenteral nutrition, nutritional requirements, nutrition disorders
