急性重症胰腺炎诊治要点.pptVIP

NPO (non per os, ie, nothing by mouth) nasogastric tube intravenous fluid hydration Analgesics Antibiotics:Imipenem/cilastatin, metronidazole and levofloxacin nutritional supplementation: total parenteral nutrition, jejunal feedings Peritoneal lavage The second great debate is in relation to Feeding. Recent studies give diametrically opposed results. (Powell 1999), no evidence of improved outcome in patients receiving EN compared to TPN. (Carter 2001), NJ feed gold standard but wait to insert and commence therapy. 恰如其分的肠外和肠内营养治疗能有效地维持和改善胰腺炎病人的营养状况，增强机体防御能力，有利于降低各种并发症发生率，提高治愈率。 The second