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门静脉全肠外营养在腹部手术中的应用
引用本文:华一兵,吴文溪,梁辉.门静脉全肠外营养在腹部手术中的应用[J].医学理论与实践,2005,18(9):1019-1020.
作者姓名:华一兵  吴文溪  梁辉
作者单位:南京医科大学第一附属医院普外科,江苏省,南京市,210029
摘    要:目的:总结10例腹部手术病人应用门静脉营养支持治疗的结果,对比营养前后的生理指标。方法:采用富含支链氨基酸的肝安提供氮源。含氮量0.11g·kg-1·d-1,非蛋白热卡24cal·kg-1·d-1,脂肪提供热卡比例占38%,氮与热卡比为1g:215cal。结果:10例病人完成门静脉营养,各项生理指标均正常。结论:营养支持结果表明,门静脉营养并发症少、操作方便,可在临床上推广应用。

关 键 词:门静脉  胃肠外营养  手术
文章编号:1001-7585(2005)09-1019-02
收稿时间:2005-02-29
修稿时间:2005年2月28日

Appficafion to Parenteral Nutrition Via Portal Vein in Abdominal Operations
Hua Yibing,Wu Wenxi,Liang Hui.Appficafion to Parenteral Nutrition Via Portal Vein in Abdominal Operations[J].The Journal of Medical Theory and Practice,2005,18(9):1019-1020.
Authors:Hua Yibing  Wu Wenxi  Liang Hui
Institution:Hua Yibing,Wu Wenxi,Liang Hui.Department of Surgery,the First Affiliated Hospital of Nanjing Medical University,Jiangsu Province 210029
Abstract:Objective: To study the treatment results of 10 patients with abdominal operation given parenteral nutrition via portal vein.Methods: The metabolic data were monitored before and after PN.15-Amino Acid Injection with branched-chain amino acid was used to be nitrogen source. The PN was given as a mixture which provided 0.11g·kg -1·d -1 and 24 kcal·kg -1·d -1 of non-protein energy with carbohydrate/fat energy ratio of 38%,the nitrogen/ heat calorie ratio was 1g:215cal. Results: All the patients were performed nutrition via portal vein completely and all the metabolic date were normal. Conclusion: The results suggest that PN via portal vein is simple and safe
Keywords:Portal vein  Parenteral nitrition  Operation
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