经鼻空肠管肠内营养在重症急性胰腺炎治疗中的作用

摘要

目的 探讨经鼻空肠营养管行肠内营养在重症急性胰腺炎治疗中的作用.方法 20例SPA患者入院后第5～10d进行安置鼻空肠管后开始接受肠内营养,定期测定电解质、肝肾功能、观察和记录体重等.结果 20例SAP患者无1例死亡,所有患者对早期肠内营养耐受良好,无胰腺炎复发,营养状况得到了改善,肝肾功能及电解质、血常规等均恢复正常,无胰腺坏死组织继发感染的发生.再次复查CT,20例患者胰腺形态基本恢复正常,胸腹腔均无渗液,无胰腺脓肿及假性囊肿的形成.结论 经鼻空肠管肠内营养支持能减少SAP患者的并发症及改善患者的预后.%Objective Approach the role which carry out enteral nutrition by nose-jejunum nutrient canal. Methods 20 severe acute pancreatitis (SAP)patients were placemented nose-jejunum nutrient canal and began to carry out enteral nutrition after 5 ～ 10days when they were in hospital,determined electrolytes, liver and renal function periodicly, observe andrecorded body weight and so on. Results No one died in 20 example SAP patients and all patients tolerated well for earlier enteral nutrition and no one recurred acute pancreatitis, their nutritional status were improved and their liver and renal functions, electrolytes, blood routine methods were normal. No secondary infection happened of pancreatic necrosis. To recheck CT and we discovered pancreatic forms recovered normal,no liquid in splanchnocoel and no pancreatic abscess and pseudocyst formed in 20 example SAP patients. Conclusion Enteral nutrition by nose-jejunum nutrient canal could decrease complications and improve prognosis of SAP.