多发伤患者急性胃肠功能损伤的识别及营养治疗

Identification and nutritional treatment of acute gastrointestinal injury in patients with multiple trauma

多发伤常累及多系统、多器官,导致急性胃肠功能损伤(AGI),而且发生率日益增加,人们也越来越关注AGI的研究。但目前对于多发伤并发AGI的诊断,没有特异性的指标,导致难以早期识别;救治上也没有明确的方案。笔者就近年来有关多发伤并发AGI评估,以及肠内外营养对AGI治疗的相关研究进行综述,希望能为多发伤并发AGI的临床诊疗提供一定参考。

Multiple trauma often involve multiple systems and organs, leading to an increasing incidence of acute gastrointestinal injury(AGI), and people are paying more and more attention to the study of AGI. However, at present, there is no specific index for the diagnosis of AGI in multiple trauma, which makes it difficult to identify early;there is also no clear plan for treatment. The author reviews the recent studies on the evaluation of acute gastrointestinal function injury in multiple trauma and the treatment of AGI by enteral-parenteral nutrition, hoping to provide some reference for the clinical treatment of multiple injuries associated with acute gastrointestinal injuries.