重症急性胰腺炎患者的胃肠外营养

Total parenteral nutrition in severe acute pancreatitis

目的为观察胃肠外营养（PN）对重症急性胰腺炎的治疗影响。方法对重症急性胰腺炎（SAP）病人给予PN支持治疗，男性18例，女性24例，手术28例，非手术14例，死亡6例。根据测得血中TG水平给以不同浓度的Intralipid，控制磷脂摄入量。结果用后监测血TG增高不明显，本组治愈率为85．7％（36／42）。结论PN对SAP的治疗效果是肯定和安全的。

42 patients with severe acute pancreatitis (SAP),18 male and 24 female,were treated from 1991 to 1996,open surgery being undertaken in 28.Total parenteral nutrition was undertaken in all.As such patients can not utilize glucose effectively,lipid intake has been increased in order to provide enough energy (glucose: lipid = 1 ~ 2:1). Serum triglyceride showed no significant rise after intravenous administration of lipid.Compound amino-acid solution was used to provide nitrogen.The over all survival rate was 85. 5 % (36/42).It was concluded that total parenteral nutrition was safe and beneficial to patients with severe acute pancreatitis.