课件：急性胰腺炎治疗.ppt

肠内营养剂的实施 半要素膳是目前理想的肠内营养剂 起始浓度为6%-10%，用微泵灌注40-60ml/h,每12小时按25ml/h递增，达到预期液量后增加浓度。 在3-5天后达到全浓度(24%)的用量(2000ml) EN液有一定粘滞性，常需输液泵均匀输注。 营养方法的选择 当肠道不能应用时，从肠外给予营养。 当肠道有功能，且能安全使用时，应用它。 Thank you ! 谢 谢 ! 后面内容直接删除就行 资料可以编辑修改使用 资料可以编辑修改使用 资料仅供参考，实际情况实际分析 主要经营：课件设计，文档制作，网络软件设计、图文设计制作、发布广告等 秉着以优质的服务对待每一位客户，做到让客户满意！ 致力于数据挖掘，合同简历、论文写作、PPT设计、计划书、策划案、学习课件、各类模板等方方面面，打造全网一站式需求 Figure 1a. Gallstones, acute pancreatitis, and gland necrosis in a 47-year-old man with four Ranson grave signs. (a) Early transverse nonenhanced CT scan obtained at the time of admission to the hospital shows a homogeneously enlarged pancreas (solid arrows). There are large heterogeneous peripancreatic fluid collections (open arrows). Gland necrosis cannot be ruled out. K = kidney, L = liver, P = pancreas, Sp = spleen, St = stomach. (b) Follow-up transverse contrast-enhanced CT scan obtained 13 days after a reveals two zones (straight arrows) of liquefied pancreatic necrosis in the neck and tail of the gland. There are residual nodular areas adjacent to the tail of the pancreas, consistent with fat necrosis (curved arrow). P = pancreas. (c) Follow-up transverse contrast-enhanced CT scan obtained 10 days after b reveals development of large pseudocysts (P) in the neck and tail of the pancreas. Follow-up transverse contrast-enhanced CT scan obtained 13 days after a reveals two zones (straight arrows) of liquefied pancreatic necrosis in the neck and tail of the gland. There are residual nodular areas adjacent to the tail of the pancreas, consistent with fat necrosis (curved arrow). P = pancreas. Follow-up transverse contrast-enhanced CT scan obtained 10 days after b reveals development of large pseudocysts (P) in the neck and tail of the pancreas. Bar graph shows clinical relevance of CT grading in acute pancreatitis (67). Black bars = complications, white bars = mortality. Contrast-enhanced axial computed tomographic section of the upper abdomen showing peripancreatic and retroperitoneal edema (larg