重症急性胰腺炎的肠内营养支持治疗进展被引量：9

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摘要重症急性胰腺炎（SAP）是临床上常见的急危重症,病情凶险、并发症多、治疗棘手,发病率有逐年增高趋势,病死率高达20%-30%.SAP的发病被认为多与白细胞过度激活和胰酶自身消化有关[1].白细胞过度激活和胰酶自身消化可引起全身炎症反应,从而导致严重的生理紊乱和高分解代谢状态,能量及蛋白质消耗增加（达正常3~4倍）,加之SAP患者短期禁食使摄入减少,导致负氮平衡,使机体伴有不同程度的营养不良、免疫功能下降、并发症增多、死亡率增加.

作者沈玉清汪文杰

机构地区铜陵市人民医院重症医学科

出处《中华胰腺病杂志》 CAS 2017年第2期134-137,共4页 Chinese Journal of Pancreatology

关键词肠内营养支持治疗重症急性胰腺炎全身炎症反应自身消化过度激活急危重症代谢状态短期禁食

分类号 R459.3 [医药卫生—治疗学] R576 [医药卫生—消化系统]

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参考文献3

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