重症急性胰腺炎的营养支持治疗  

Nutrition support treatment of severe acute pancreatitis

作　　者：王文昌[1] 牛新军 顾建中[1] 叶丹[1] 苏少飞[1] 

机构地区：[1]宁夏银川市第一人民医院,宁夏银川750001 [2]宁夏盐池县大水坑百姓医院,宁夏盐池751506

出　　处：《宁夏医学杂志》2002年第12期721-722,共2页Ningxia Medical Journal

摘　　要：目的　探讨营养支持治疗重症急性胰腺炎的临床意义。方法　采用营养支持治疗重症急性胰腺炎36例 ,早期应用全胃肠外营养 (TPN) ,恢复期用PN +EN ,后期应用EN或OD。结果　本组 36例 ,治愈 34例 ,占94 % ;死亡 2例 ,其中 1例非手术治疗死于ARDS ,手术死亡 1例 ,死于多脏器功能衰竭 (MSOF)。并发症有腹腔脓肿、ARDS、MSOF、肠瘘、胰瘘、切口感染、应激性溃疡、假性囊肿 ,共 2 0例次。结论　营养支持在SAP治疗中具有十分重要的意义 ,可纠正负氮平衡 ,提高机体抗病能力 ,让胰腺充分休息 ,使病人较顺利地度过并发症频发期 ,进入恢复期 ,从而减少并发症的发生 。Objective To study the clinical significance of nutrition support treatment of severe acute pancreatitis.Methods To apply nutrition support treat to severe acute pancreatitis in 36 cases,apply TPN to the early cases, apply PN+EN to the cases of recovery period, apply EN or OD for the late cases.Results 34 cases were cured (94%), 2 cases died, one nonoperation treatment case died of ARDS,one operation treatment case died of MSOF.The complications,including abdominal abscess,ARDS,MSOF,intestine fistula ,pancreatic leak,incision infection,stress ulcer,pseudocyst add up to 20 cases.Conclusions Nutrition support is important in SAP treatment,rectify negative nitrogen balance,improve the embody resistance,to make pancreatic rest,and make patients successfully pass frequent stage of complication,which may help patients to come into recovery stage with less happening of complication and less death rate.

关 键 词：重症急性胰腺炎 营养支持 治疗 

分 类 号：R459.3[医药卫生—治疗学]