摘要
目的探讨重型颅脑损伤患者早期肠内营养支持的合理应用及临床意义。方法对22例重型颅脑损伤患者伤后或术后即行肠内营养,并逐渐过渡到全肠内营养,早期不足部分由肠外营养补充。观察上臂肌围,肱三头肌皮褶厚度,淋巴细胞计数,血糖、血浆清蛋白,同时观察并发症发生率及预后。结果本组存活19例,死亡3例。治疗1周时,血清清蛋白、淋巴细胞计数无明显下降,血糖控制良好,肠内营养期间,无严重腹泻,未见严重的感染和多器官功能不全。结论重型颅脑损伤患者早期即行肠内营养支持,可提高重型颅脑损伤的生存率,降低并发症和病死率。
Objective To discuss the rational application and clinical significance of nutritional support in patients with severe traumatic brain and head injury.Methods We used enteral nutrition within 48 hours for all 22 patients.A portion of patients had also been supplemented with parenteral nutrition,which was waned and substituted by enteral nutrition shortly.The upper arm circumference,triceps skinfold,lymphocyte count,blood sugar and serum albumin levels were recorded.Any complication was also documented.Results 3 of the 22 patients died.No abnormality in lymphocyte count,serum albumin,and blood sugar was recorded within one week.No severe diarrhea,infection or organ failure occurred.Conclusion Nutritional support should be applied early after traumatic brain injury to improve survivals and reduce complications.
出处
《四川医学》
CAS
2011年第10期1575-1576,共2页
Sichuan Medical Journal
关键词
重型颅脑损伤
肠外营养
肠内营养
severe craniocerebral injury
early enteral nutrition
parenteral nutrition
