肠外营养的应用

目的：总结肠外营养(PN)的应用情况。方法：对378例患者进行PN营养支持,所有PN液都是在空气净化台或层流间内配制成“全合一”的混合液,供患者ld内输注。结果：在PN期间死亡或自动出院8例(占2．1％),重症急性胰腺炎的病死率明显下降,消化道手术后胃麻痹经全肠外营养(TPN)支持治愈,恶性肿瘤患者的各项指标均有改善。结论：营养支持是一项重要的治疗手段。重症急性胰腺炎、颅脑损伤宜选用阶段性营养支持疗法,消化道手术后胃麻痹、恶性肿瘤首选TPN治疗。

The Application of Parenteral Nutrition

Objective:To summarize the application of parenteral nutrition (PN) for patients of severe cases in the past three years. Method:378 patients received nutritional support. all untrients were prepared into an "all in one" cocktail. Results:Eight patients died of diseases or left the hospital voluntarily during parenteral nutrition. The mortality of severe acute pancreatitis was decreased signitfcantly. All patients with gastric paralysis after digestive tract operations had been cured by TPN. All test indices of patients with malignant tumors were improved. Conclusion:The patients with severe acute pancreatitis and head injury may be suitable for staged nutritional support; the patients with gastric paralysis after digestive tract operation or malignant tumors may be treated with TPN as the first choice.