重症急性胰腺炎的营养支持（Nutritional support of severe acute pancreatitis）.docVIP

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重症急性胰腺炎的营养支持（Nutritional support of severe acute pancreatitis）.doc

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重症急性胰腺炎的营养支持（Nutritional support of severe acute pancreatitis）

重症急性胰腺炎的营养支持（Nutritional support of severe acute pancreatitis） Severe acute pancreatitis nutrition support.Txt Lao Tze Huyou children called education, children Huyou Lao Tze called deception, each other flicker generation gap. The man in this world, I want to use what color to attract you. [frontiers of medicine] nutritional support for severe acute pancreatitis The treatment of severe acute pancreatitis (SAP) is a very difficult clinical problem. SAP not only has a long course of disease, but also has many complications and high fatality rate. Patients often cannot or do not allow normal eating because of their condition, so parenteral nutrition (PN) or enteral nutrition (EN) support is an integral part of the overall treatment. In the course of up to 2~3 months, SAP patients may undergo multiple surgeries and are at risk of sepsis and organ dysfunction. The nutritional support for both to maintain the nutritional status of patients, but also to protect organs from damage, not allowed to care for this and lose that. However, in clinical practice, the damage of organ function is very common because of improper nutritional support measures. In order to solve this contradiction, we must start with renewing the concept and mastering the principles. Principles of nutritional support Many scholars have made a thorough study of the metabolic changes of the organism under stress, including the exact energy requirements, the metabolic characteristics of nutrients, and the mechanisms and significance of impaired liver and intestinal barrier function. The results of these studies emphasize that nutrition support must follow the principle of metabolic support, that is, nutritional support must conform to the law of change in the age of disease, and must be based on the protection of organ function. SAPs condition is critical, the body has obvious internal environmental disorders and organ dysfunction, and at this time the implementation of nutritional support should be more c