老年危重患者全肠外营养支持治疗30例临床分析

Total Parenteral Nutrition Support Therapy for Critical Elderly Patieuts:Analysis of 30 cases

目的 探讨全肠外营养 (TPN)支持治疗在老年内科危重患者中的应用价值。方法 本组 30例老年危重患者中 ,晚期肿瘤 16例 ,非肿瘤患者 14例 ,均采用中心静脉导管行TPN治疗 ,时间 2 0～ 2 34天。结果 全部患者营养不良及代谢紊乱得到不同程度改善。结论 适宜的TPN治疗是老年危重患者抢救成功的重要治疗措施之一。在老年患者TPN治疗时应注意个体化 ,同时还应预防并发症 ,尤其是导管败血症的发生。

Aim:To evaluate the valuc of application of Total Parenteral Nutrition (TPN) support therapy in critical elderly patients.Methods: 30 cases of critical elderly patients,including 16 cases of late cancers, 14 cases of non-cancer diseases have received TPN via central venous catheter for 20 to 234 days.Results:Malnutrition and metabolism disorders were improved in all patients who were given TPN support therapy.Conclusion:Appropriate TPN applied to critical elderly patients is an important measure. TPN therapy should be individualized in elderly patients.Besides,complications especially catheter-related sepsis shluld be prevented.