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目的探讨重症急性胰腺炎(SAP)时早期肠内营养(EEN)的可行性、安全性及有效性。方法对我院普外科2002年11月至2007年10月11例SAP病人在入院4~7 d时放置空肠螺旋管,在达到空肠后,进行肠内营养支持。观察病人的一般情况、营养状况及并发症的发生率等。结果9例病人在置管48~72 h后到达空肠,1例在置管72 h后在X线透视辅助下置入空肠,1例在置管72 h后在内镜辅助下进入空肠。所有病人对EEN耐受良好,无胰腺炎复发,而且肠内营养开始后1~2周营养状况与营养支持前比较明显好转,无胰腺坏死组织继发感染的发生。结论对SAP进行EEN是可行的,安全和有效的,能改善SAP病人的营养状况。
Objective To investigate the feasibility, safety and efficacy of early enteral nutrition (EEN) in severe acute pancreatitis (SAP). Methods The general surgery of our hospital from November 2002 to October 2007 11 cases of SAP patients placed in the hospital 4 to 7 d placed jejunal spiral tube, after reaching the jejunum, enteral nutrition support. Observe the patient’s general condition, nutritional status and the incidence of complications. Results Nine patients reached the jejunum 48-48 hours after catheterization, one case was placed in the jejunum with X-ray assistance 72 hours after catheterization, and one case entered the jejunum with endoscope-assisted 72 hours after catheterization. All patients were well tolerated with EEN and had no recurrence of pancreatitis. Moreover, the nutritional status and nutrition support were significantly improved 1 to 2 weeks after the beginning of enteral nutrition, with no secondary infection of pancreatic necrotic tissue. Conclusions The EEN of SAP is feasible, safe and effective, which can improve the nutritional status of SAP patients.