营养支持在重型颅脑损伤治疗中的应用

Nutritional support in the management of patients with head injury

急性重型颅脑损伤病情危重 ,过去死亡率较高 ;近年来 ,对于颅脑外伤的治疗采取了一系列措施 ,而早期营养支持是治疗重型颅脑伤的重要组成部分 ,越来越为神经外科医师所重视。本组 52例重型颅脑损伤病人 ,在治疗原发脑损伤同时 ,给予早期胃肠外营养支持 ,其并发症发生率、死亡率均有明显下降。早期营养支持不仅不会加重脑水肿、增加颅内压 ,还可以减少营养丢失 ,保持一定的内脏蛋白水平 ,又能提高细胞免疫功能 ,增强机体抵抗力 ,减少并发症的发生 ,促进神经功能恢复 。

The nutritional support has become an important part of the management of pa- tients with severe head injury.Fifty- two cases were supported by early nutritional supplement.The result showed that themortality and morbidity were decreased.It is experienced that early nutritional support may reduce the loss of body protein and vis- ceral proteins,increase the function of cellu- lar immune system and promote the recov- ery of impaired nerves.