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重症急性胰腺炎的肠内营养支持
引用本文:童智慧,李维勤. 重症急性胰腺炎的肠内营养支持[J]. 肠外与肠内营养, 2007, 14(1): 47-50
作者姓名:童智慧  李维勤
作者单位:南京大学医学院临床学院(南京军区南京总医院)解放军普通外科研究所,江苏南京,210002
摘    要:重症急性胰腺炎病人处于高分解代谢状态,必须加强营养支持.经空肠肠内营养不刺激胰腺分泌,是安全可行的.目前,认为肠内营养支持能改善重症急性胰腺炎病人的营养状况,保护肠屏障功能,减少细菌和内毒素移位,调节炎症反应,降低住院费用.因此,重症急性胰腺炎病人应尽可能采用经空肠肠内营养,而非肠外营养支持.

关 键 词:重症急性胰腺炎  肠内营养支持
文章编号:1007-810X(2007)01-0047-04
收稿时间:2006-03-31
修稿时间:2006-09-20

Enteral nutrition in severe acute pancreatitis
TONG Zhi-hui,LI Wei-qin. Enteral nutrition in severe acute pancreatitis[J]. Parenteral & Enteral Nutrition, 2007, 14(1): 47-50
Authors:TONG Zhi-hui  LI Wei-qin
Affiliation:Research Institute of General Surgery, Clinical School of Medical College of Nanjing University/Nanjing General Hospital of Nanjing Military Command, PLA , Nanjing 210002, Jiangsu , China
Abstract:Patients with SAP have a hypermetabolic and hypercatabolic state. Nutritional support for patients with SAP is needed. EN by the jejunal route does not stimulate pancreatic secretions and is safe. At present, the beneficeal effects of EN towards improving the nutritional condition, protecting gut barrier function, reducing translocation of bacteria and endotoxins, modulating the inflammatory response, and decreasing the cost have been observed. Therefore, the EN rather than PN should be used by the jejunal route to provide nutritional support for patients with SAP.
Keywords:Severe acute pancreatitis   Enteral nutritional support
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