肠外营养相关性肝损害的综合治疗

Comprehensive treatment of parenteral nutrition-related liver injury.

目的 探讨肠外营养相关性肝损害的综合治疗。方法 对 19例肠外营养相关性肝损害病人 ,给予减少非蛋白质热量 [10 4 5kJ/ (kg·d) ]、保肝以及尽可能改用肠内营养等治疗。 结果 19例病人的肝损害指标于治疗后不同时间皆降至正常。治疗后胆囊胆泥淤积逐渐消退。结论 出现肝损害时 ,肠外营养的目的是帮助病人渡过肝损害期 ,以基本满足病人的营养需要为宜。该组治疗方案安全有效。

Objective To study the comprehensive treatment of parenteral nutrition-related liver injury. Methods Nineteen patients with parenteral nutrition related liver injury were treated by reducing nonprotein calories [104.5 kJ/(kg·d) ],improving liver function and enteral nutrition.Results Liver function test found 19 patients recovered to normal at different time after treatment.Gallbladder sludge stasis disappeared gradually after treatment.Conclusion The therapy is safe and effective.The purpose of parenteral nutrition is to help patients to pass the period of liver injury and meet basical nutrition needs of patients.