【摘要】 目的通过对15例重症急性胰腺炎(SAP)病人进行早期肠内营养支持,探讨SAP时早期肠内营养的可行性、安全性及有效性。方法对普通外科2002年4月至2005年6月15例SAP病人在入院3~5 d时放置空肠螺旋管,在到达空肠后,进行肠内营养支持。观察病人的一般情况、营养状况、免疫功能及并发症的发生率等。结果11例病人在置管2~3 d后到达空肠,3例置管第4天时在X线透视辅助下置入空肠,1例在置管第4天时由内镜辅助下进入空肠。所有病人对早期肠内营养耐受良好,无胰腺炎加重,而且肠内营养开始后1~2周营养状况及免疫功能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进行早期肠内营养支持是可行、安全和有效的,能改善SAP病人的营养状况及免疫功能和预后。更多还原

【Abstract】 Objective To evaluate the feasibility,safety and validity of the early enteral nutrition in severe acute pancreatitis(SAP).Methods 15 patients of SAP during April 2002 to June 2003 received early enteral nutrition through naso-jejunal tube.The nutrition immune index and the rates of complications were analyzed.Results On 2-3 days after nutrition tube placed to stomach,the tube heads in 11 cases reached the jejunum automatically,while 3 cases needed the help of X-ray and 1 case needed the help of gastroscopy.All of 15 cases tolerated the enteral nutrition well,and there was no relapse of SAP.The nutrition and immune measurement were improved after 2 weeks enteral nutrition,without infection of pancreatic necrosis.Conclusions The early enteral nutrition through naso-jejunal tube is safe,efficient and feasible in severe acute pancreatitis.Early enteral nutrition can improve the nutrition,immune function and prognosis.更多还原