一个医疗中心临床营养支持十年总结

Making a summarize of ten years' clinical nutrition support

目的 :对 1 991年至 2 0 0 1年的临床营养支持资料作一总结。 方法 :对 1 0 65例病人进行营养支持 ,所有肠外营养液都是在空气净化台或层流间内配制成“全合一”的混合液 ,供病人一天内输注。不同类型病人选用不同类型营养支持方案。 结果 :在肠外营养期间死亡或自动出院 2 8例 (占 2 .63 % ) ,重症急性胰腺炎的病死率明显下降 ,消化道手术后胃麻痹经肠外营养支持后治愈。 结论 :营养支持是一项重要的治疗手段。危重病人宜采用低热高支链氨基酸的方案 ,重症急性胰腺炎宜选用阶段性营养支持疗法 ,消化道手术后胃麻痹首选TPN治疗。

Objectives:The results of ten years' clinical nutrition support in a clinical center were reviewed from November 1991 to April 2001. Methods: One thousand and sixty five patients received 'All in one' nutrition support. Results: Twenty eight patients died of diseases during parenteral nutrition(PN).The mortality of severe acute pancreatitis was decreased significantly. All patients with gastric paralysis after digestive tract operations had been cured by PN. Conclutions: The low calorie and branch chain amino acid(BCAA) enriched nutrition support may benefit to the critical patients. The patients with severe acute pancreatitis may be suitable for staged nutrition support and the patients with gastric paralysis after digestive tract operation may be treated with TPN firstly.