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重症胰腺炎营养支持方式的选择与韦尼克脑病发生关系的观察体会 被引量:2
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作者 龚毅 柳扬 侯炬 《贵州医药》 CAS 2015年第5期418-419,共2页
韦尼克脑病[1‐2]是因硫胺素(Vit‐B1)缺乏所致的一种中枢神经系统症状综合征,在胰腺炎患者特别是重症患者,因其病程时间长,长期禁饮食,可导致韦尼克脑病的发生。本文通过回顾我科2014年1-7月期间45例住院时间超过30 d的重症... 韦尼克脑病[1‐2]是因硫胺素(Vit‐B1)缺乏所致的一种中枢神经系统症状综合征,在胰腺炎患者特别是重症患者,因其病程时间长,长期禁饮食,可导致韦尼克脑病的发生。本文通过回顾我科2014年1-7月期间45例住院时间超过30 d的重症急性胰腺炎患者在肠内或肠外营养治疗下与韦尼克脑病发生情况的临床对比观察,可见肠内营养支持下韦尼克脑病的发生率较肠外营养低,为本病治疗过程中营养支持方式的选择提供临床经验。 展开更多
关键词 重症急性腹腺炎 硫脑素 肠内营养
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Recovery from respiratory failure after decompression laparotomy for severe acute pancreatitis 被引量:7
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作者 Sylvia Siebig Igors Iesalnieks +4 位作者 Tanja Bruennler Christine Dierkes Julia Langgartner Juergen Schoelmerich Christian E Wrede 《World Journal of Gastroenterology》 SCIE CAS CSCD 2008年第35期5467-5470,共4页
We present three cases of patients (at the age of 56 years, 49 years and 74 years respectively) with severe acute pancreatitis (SAP), complicated by intra-abdominal compartment syndrome (ACS) and respiratory insuffici... We present three cases of patients (at the age of 56 years, 49 years and 74 years respectively) with severe acute pancreatitis (SAP), complicated by intra-abdominal compartment syndrome (ACS) and respiratory insufficiency with limitations of mechanical ventilation. The respiratory situation of the patients was significantly improved after decompression laparotomy (DL) and lung protective ventilation was re-achieved. ACS was discussed followed by a short review of the literature. Our cases show that DL may help patients with SAP to recover from severe respiratory failure. 展开更多
关键词 Severe acute pancreatitis Intra-abdominal compartment syndrome Decompression laparotomy Intensive care Unit Respiratory failure
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