急性胰腺炎(AP)患儿处于高分解代谢状态,其对营养的需求除考虑疾病因素外,还要尽可能满足儿童生长发育所需,因此,必须加强营养支持。经空肠肠内营养不刺激胰腺分泌,安全可行。目前认为肠内营养支持能改善AP患儿的营养状况,保护肠屏障功能,减少细菌和内毒素移位,调节炎性反应,降低住院费用。因此,小儿AP的营养治疗应尽可能采用经空肠肠内营养,而非肠外营养支持。 Children with acute pancreatitis (AP) are in a state of high catabolism, and their nutritional requirements need to meet the needs of children’s growth and development as much as possible in consideration of the disease factors. Therefore, nutritional support must be strengthened. The jejunum enteral nutrition does not stimulate the secretion of the pancreas, safe and feasible. Enteral nutrition support is currently considered to improve the nutritional status of children with AP, protect the gut barrier function, reduce bacterial and endotoxin translocation, regulate inflammatory responses and reduce hospitalization costs. Therefore, the nutritional treatment of children with AP should be used as much as possible through the jejunum enteral nutrition, rather than parenteral nutrition support.