肠外、肠内序贯营养支持在普外科大手术、危重病人中的应用  

Use of stage nutritional support for general surgery patients after in PN, EN by operation and critical ill

作　　者：姜海平[1] 汤汉林[1] 杨雪华[1] 

机构地区：[1]暨南大学医学院第一附属医院外科,广东广州510630

出　　处：《暨南大学学报（自然科学与医学版）》2000年第6期39-41,共3页Journal of Jinan University(Natural Science & Medicine Edition)

摘　　要：目的 :探讨危重、应激病人合理的营养支持模式。方法 :对 2 6例普外科危重、大手术病人进行全肠外 -部分肠外、部分肠内 -全肠内序贯营养支持 ,观察营养支持的效果和并发症。结果 :治疗前后营养状态有明显改善 ,营养支持平均时间 16 3d ,其中全肠外营养 (TPN) 7 2d ;肠内、肠外营养 (PN、EN) 4 6d ;全肠内营养 (TEN) 4 5d。并发症 :置管并发症 1例、代谢并发症 2例、严重腹泻 1例。结论 :肠外、肠内序贯营养支持模式是危重病人较合理的实用模式。Aim: To study the mode of suitable nutritional support in critical ill patients. Methods: 26 critical ill patients were treated with stage nutritional support of TPN-PN、EN-TEN, the effect and complications were oberserved . Results: After nutritional support treatment, there were obvious improvement of nutritional condition. The mean time of nutritional support was 16 3 days; the mean transferring time point from TPN to PN、EN was 7 2 days; PN、EN was 4 6 days; the mean duration of EN was 4 5 days.Complications: 1 case of catheter-related; 2; 1. Conclusion: The stage nutritional support of TPN-PN、EN-TEN might be suitable for nutritional support in critical ill patients. [

关 键 词：肠内营养 肠外营养 外科手术 营养支持 危重病人 

分 类 号：R459.3[医药卫生—治疗学]