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目的探讨营养支持在重症急性胰腺炎治疗过程的作用。方法对４６例重症急性胰腺炎病人进行治疗的同时给予营养支持。在行全肠外营养２～３周后始加用肠内营养，同时减少肠外营养量；肠外营养加肠内营养１周后逐步改为全肠内营养，直到病人达到了或基本达到了正氮平衡。结果在营养支持期间，绝大多数病人达到了或基本达到了正氮平衡。结论只要使用和管理妥当，营养支持在重症胰腺炎治疗中将会达到良好的预期目的。
Objective To explore the role of nutritional support in the treatment of severe acute pancreatitis. Methods Forty-six patients with severe acute pancreatitis were treated with nutritional support. In the line of total parenteral nutrition 2 to 3 weeks after the initial plus enteral nutrition, while reducing the amount of parenteral nutrition; parenteral nutrition and enteral nutrition after 1 week and gradually changed to enteral nutrition, until the patient reached or basically reached Positive nitrogen balance. Results During nutritional support, the vast majority of patients achieved or basically reached a positive nitrogen balance. CONCLUSIONS Nutritional support will achieve well-intended goals in the management of severe pancreatitis if used and managed properly.