肠道营养支持在外科重危患者的应用

对1985～1989年88例病情复杂的腹部外科重危患者应用EN支持。患者先后接受2～8次手术治疗,平均3.4次;同时伴有2～7种并存症,平均3.8种;半均住院122天。88例中TEN47例,TPN+ENl2例,TPN转TEN29例。EN支持天数为9～409天,平均57.4天;输入途径为鼻饲30例,空肠造口48例,经肠瘘口插管10例。EN结束时患者的体重、血浆蛋白、转铁蛋白均较开始时显著增加。本组病例中临床痊愈80例,死亡6例,2例带喂养管出院。本文介绍了EN的应用方法,重点讨论EN的适应证、输入途径及并发症处理,认为需要营养支持的重危外科患者应首选EN支持。

Application of Enteral Nutrition Support iu Severe Surgical Patients

Enteral nutrition (EN) was given in 88 patients suffered from severe surgical abdominal diseases with 2 to 7 (mean 3.8) kinds of complications since 1985 to 1989. The periods of hospitalization in these patients were 43 to 760 (mean 122) days during which the patients received 2 to 8 (mean 3.4) times of operations. The courses of EN were 9 to 409 (mean 57.4) days and the sorts of EN were TEN, TPN + EN, and TEN transfered from TPN in 47, 12 and 29 cases respectively. The body weight, plasma proteins and transferrin levels increased significantly in these patients after finishing EN supports. The improvement of nutritional states mainly occured in the second week of EN course and more obviously as the time of EN prolonged. It is concluded that EN is the first choice of nutrition support in the indicated patients.