摘要
报告 14例危重病人给予全胃肠外营养 ( TPN)和肠内营养 ( EN)收到良好效果。 14例中MSOF10例 ,衰竭脏器≥ 4个者 5例。 9例入 ICU时呈昏迷状态。 11例气管切开 ,9例给予人工机械通气 ,其中 4例同时进行连续性静脉 -静脉血液滤过透析治疗 ( CVVHDF)。营养支持治疗后对病人手术切口的愈合、呼吸肌功能的恢复以及全身营养状况的改善均起到良好的作用。认为营养支持对危重病人至关重要 ,直接影响病人的康复和预后。主张病情危重、消化道功能差时以 TPN为主 ,一旦肠蠕动恢复应及时过渡到 EN,以减少肠道细菌和内毒素易位 ,减少消化道出知发生率。
Fourteen critical patients were treated by total parenteral nutrition(TPN) or en- teral nutrition(EN) and good results were achieved.Among the1 4patients,1 0 cases were suffered from MSOF.The results suggest thatnutritional support is very im- portant for the critical patients,especially for their rehabilitation and prognosis.The use of TPN is not limited by the gastroin- testinal function.TPN should be sellected preferably when a patient is critical and se- rious.EN should be used when gastroin- testinal function have recovered in order to reduce the translocation of bacteria and en- dotoxin in the gut and decrease gastroin- testinal bleeding.
出处
《肠外与肠内营养》
CAS
1997年第3期153-155,共3页
Parenteral & Enteral Nutrition
