论文部分内容阅读
本文报道２５例急性出血坏死性胰腺炎（ＡＮＰ），３０例急性水肿性胰腺炎（ＡＥＰ）的电解质与酸碱失调分析结果，以ＡＮＰ表现显著，有低钾、低钠、低氯、低钙、低磷、代酸与代酸呼碱、低氧血症，低蛋白血症的表现，与ＡＥＰ比较有显著性差异（Ｐ＜０．０１）。１６例ＡＮＰ型采用全肠外营养（ＴＰＮ）治疗，其中１３例存活，与过去未用ＴＰＮ治疗２２例，１４例死亡有显著差异（Ｐ＜０．０１）。作者认为ＴＰＮ协同治疗ＡＮＰ患者，对于提供营养，抑胰分泌，促进胰腺组织修复，纠正水盐代谢紊乱，防止并发症与提高存活率有重要意义。对ＴＰＮ的用法及热原供给作了简要讨论。
This article reports 25 cases of acute hemorrhagic necrotizing pancreatitis (ANP), 30 cases of acute edematous pancreatitis (AEP) electrolyte and acid-base disorders analysis results to ANP significant, with low potassium, low sodium, low chlorine, low calcium (P <0.01). There was a significant difference between AEP and AEP (P <0.01). Twenty-six ANP patients were treated with total parenteral nutrition (TPN), of which 13 survived. There were significant differences (P <0.01) between the 14 patients and the 22 patients without TPN in the past. The authors believe that TPN synergistic treatment of patients with ANP, for the provision of nutrition, inhibition of pancreatic secretion, promote pancreatic tissue repair, water and salt metabolism disorders, prevent complications and improve survival rate of great significance. The usage of TPN and the supply of pyrogen are briefly discussed.