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1987年5月~1992年11月共收治急性出血坏死性胰腺炎患者28例,术后进行营养支持治疗,经过营养支持4周后(有4例未到营养支持4周即死亡),缩短了蛋白分解时间,纠正了低蛋白症和负氮平衡,同时也纠正了电解质紊乱和酸碱平衡失调。术后第7天血浆白蛋白值29.32±5.29g/L,经营养支持4周后明显上升达35.17±6.75g/L,血浆白蛋白值<35g/L的患者有24例,经营养支持4周后有17例纠正了低蛋白血症,20例纠正了负氮平衡。血浆白蛋白值≥35g/L的17例患者无1例死亡,死亡率为0,而血浆白蛋白<35g/L的7例患者有4例死亡,死亡率为57.1%。静脉营养和空肠造瘘灌注要素饮食,补充了足够的热量和蛋白质,是该病术后进行营养支持的可选方法。
From May 1987 to November 1992, 28 patients with acute hemorrhagic necrotizing pancreatitis were treated with nutritional support. After 4 weeks of nutritional support (4 patients died without nutritional support for 4 weeks), they were shortened Proteolytic time, corrected hypoproteinemia and negative nitrogen balance, but also to correct the electrolyte imbalance and acid-base balance disorders. Serum albumin value was 29.32 ± 5.29g / L on the 7th postoperative day, with a significant increase of 35.17 ± 6.75g / L after 4 weeks of nutrition support and 24% of patients with plasma albumin value <35g / L For example, after 4 weeks of nutritional support, 17 had hypoproteinemia corrected and 20 corrected the negative nitrogen balance. None of the 17 patients with a plasma albumin level of ≥35 g / L had a mortality of 0, whereas 4 of 7 patients with plasma albumin <35 g / L had a mortality of 57.1%. Intravenous and jejunal fistula perfusion The elemental diet, supplemented with adequate calories and protein, is an optional method of nutritional support after the disease.