急性胰腺炎的营养支持治疗进展_郑家驹.pdfVIP

64 2003 9 2 江苏省苏州市第三人民医院 郑家驹, 苏州 2 1500 8 急性胰腺炎 营养支持 治疗进展 R 576 A , ( Acute Physiolog y and Chronic Health E- ( A merican Gastroenterology A ssocia- valuation scoring syst em , A PACH E ) t ion , A GA) ( ) ( parent eral nu- Ranson t rition, PN) , APA CHE 10, Ranson 3 1] A PACH E 10 Ranson 3 , CT APA CHE 2] AGA , : 48 h , P N 3 , ( t he ent eral rout e of f eeding) 1 ; APA CHE 9 , , , 6% ( 1~ 3] ) ; 10 , 19. 3% , 38% , Ranson 2 81% 7 d , 3 1 , , , Ranson 2, A PA CH E 9, A PA CHE , 48 h , , , , 5% 2 1% , 72 h 72 h Ranson 3, APA CHE 10, A- ( T PN) 13% 38% 4] PACH E 48h , CT , - , ( IL- 8IL- 6 C- 3] 80% ) ( t rypsinogen act ivat ion , pept ide, TA P) , 4] 7 d , ; 20% , ( gastroduodenal atony) , , 7d , ( net negat ive cum ulat ive energy balance) 3] : , 2003 9 2 65 , ( : , T PN