静脉营养的临目床应用.pptVIP

Metabolic Complications of PN Steatosis Cholestasis, Gallbladder Stasis, and Cholelithiasis Gastrointestinal Atrophy Gastric Hypersecretion and Hyperacidity Metabolic Complications of PN Steatosis Within 1-2 weeks after initiation of PN Elevations of Serum aminotransferases, alkaline phosphatase and bilirubin Fatty infiltration of liver cells Continuous glucose and/or excessive calorie loads Resolves in 10-15 days Metabolic Complications of PNCholestasis, Gallbladder Stasis, and Cholelithiasis May occur 2-6 wks after initiation PN Progressive increase total bilirubin and serum alkaline pho