TPN在肝胆患者围手术期的临床应用(附50例报告)

TPN in the perioperative patfents with hepatic-biliary system disease (50 cases report)

全胃肠外营养(TPN)应用于临床,解决了脂肪的补充及其热能的供应,使很多危重患者得以转危为安。我们对50例肝胆患者围手术期使用TPN获得良好效果。脂肪乳剂(10％Intralipid)在肝外水解,不增加肝脏负担,复方氨基酸(7％Vamin)维持氮平衡,有利于蛋白合成。从临床及生化观察,它具有适应广,术后恢复快,安全可靠及副作用少等优点。TPN是术前及术后支持治疗的重要措施之一。

The applying of TPN to clinical practice solved the ploblem of fat and energy supple-ment to the critically-in patients which makes many of them turn into better conditions. 50 patients with hepatic biliary system disorders used TPN perioperatively showed good result. Fat emolsion (10% intralipid) under going extra-hepatic hydrolysis does not increase the burden of liver. Amino-acid co. (7% vamin) keeps the balance of nitrogen and is benefit to the protein synthesis. Observed clinically and biochemically, it possesses the adventages of extensive indication, rapid postoperative recovery. safety and reliability and of less side-effect. TPN is an important measure of supporting treatment pre-and postoperatively.