严重腹部创伤患者的全肠外营养支持

Total parenteral nutrition support after major abdominal trauma

对28例严重腹部创伤患者应用全肠外营养(TPN)支持,结果显示,第二、三、四周每周累积氮平衡值较第一周高,血清白蛋白、前白蛋白、纤维连接蛋白及转铁蛋白值较使用TPN前有升高。18例创伤后发生肠痿的患者中,有8例瘘口自愈。结果提示,对严重腹部创伤的部分病例应用TPN支持,有利于提高救治的成功率。

Total parenteral nutrition(TPN)was used in the treatment of major abdominal trauma in 28 cases.The results demonstrated that there was a marked increase of weekly accumulative nitrogen balance values during the 2nd to 4th week.Serum albumin,prealbumin,fibronectin and transferrin were determined to have higher values than those prior to the use of TPN,8 fistula have been noted to close spontaneously,although 18 fistula developed after trauma.It is concluded that the use of TPN for some patients severely abdomen-injured may contribute to a satisfactory outcome of treatment.