急性坏死性胰腺炎的内分泌变化与肠外营养

The changes of pancreatic endocrine in patients with ANP and parenteral nutriton

通过动态观察急性坏死性胰腺炎（ANP）患者的内分泌变化，试图分析肠外营养时的最佳实施方案。结果提示：ANP患者伴有内分泌紊乱，高糖血症发生率高，应减少葡萄糖的用量，且应严密监测血糖的变化。为满足机体需要，以脂肪乳剂提供30％-50％的热卡，在ANP患者中应用可使高糖血症易于控制，使肠外营养更为安全有效。

The alteration of endocrine in patients with ANP was continuously observed , and we tried to find the best plan of parenteral nutrition for ANP patient. The resulte indicated disorder of endocrine was often happened in patients with ANP and higher morbidity of hyperglycemia , so dose of intravenous administration of glucose should be reduced, and the changes of blood glucose must be continuousely observed. If 30~ 50% calories was supplied by fat emulsion, it could meet caloric needs of patients with ANP, hyperglycemia was easier to control, and parenteral nutrition was much saft and useful.