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重症急性胰腺炎发病后进展迅速，死亡率高，多数患者会出现多器官功能衰竭，并发多器官感染，伴有脓毒血症。营养支持是重症急性胰腺炎（Severe acute pancreatitis,SAP）合并脓毒血症治疗的重要环节。本文对1例SAP合并脓毒症休克患者的营养方案进行了分析和报告，以期为相关患者的营养策略提供参考依据。
Abstract：Severe acute pancreatitis progresses rapidly with high mortality. Most patients will have multiple organ failure, multiple organ infection and sepsis. Nutritional support is an important step in the treatment of severe acute pancreatitis(SAP) with sepsis. In this paper, the nutritional program of a case of SAP with septic shock was analyzed and reported, in order to provide reference for the nutritional strategy of related patients.
[1]Ari Leppäniemi, Matti Tolonen, Antonio Tarasconi, et al.2019 WSES guidelines for the management of severe acute pancreatitis[J]. World Journal of Emergency Surgery,2019,14(1):1-20.
[2]刘大为.实用重症医学[M].第二版.北京:人民卫生出版社,2017:705-716.
[3]石晶,徐莉.重症胰腺炎营养支持的护理进展[J].农垦医学,2011,33(4):359-361.
[4]Pan L L,Li J,Shamoon M,et al. Recent advances on nutrition in treatment of acute pancreatitis[J]. Frontiers in Immunology,2017(8):762.
[5]梅丹,于健春.临床药物治疗学.营养支持治疗[M].北京:人民卫生出版社,2016:101-103.
[6]Capurso G,Zerboni G,Signoretti M,et al. Role of the gut barrier in acute pancreatitis[J]. Journal of Clinical Gastroenterology,2012,46 Suppl(9S):S46-51.
[7]秦环龙.肠外与肠内营养对胰腺外分泌和急性重症胰腺炎的影响[J].肠外与肠内营养,2001,8(4):240-245.
[8]Mirtallo J M,Forbes A,McClave S A,et al. International consensus guidelines for nutrition therapy in pancreatitis[J]. JPEN J Parenter Enteral Nutr,2012,36(3):284-291.
[9]中华医学会消化病学分会胰腺疾病学组,中华胰腺病杂志编辑委员会,中华消化杂志编辑委员会.中国急性胰腺炎诊治指南(2019年,沈阳)[J].中华消化杂志,2019,39(11):721-730.
[10]Murphy A E, Codner P A. Acute pancreatitis:exploring nutrition implications[J]. Nutr Clin Pract,2020,35(5):807-817.
[11]胡雯,于康,周春凌.医疗膳食学[M].第1版.北京:人民卫生出版社,2017:162-173.
[12]Singer P,Blaser A R,Berger M M,et al. ESPEN practical and partially revised guideline:clinical nutrition in the intensive care unit[J]. Clin Nutr,2023,42(9):1671-1689.
[13]石志敬,刘虹,张勇勇,等.肠内营养启动时机对重症急性胰腺炎预后影响的Meta分析[J].中华危重症医学杂志(电子版),2015,8(2):77-83.
[14]Paul G L,Minoti A,Peter A B. Acute pancreatitis[J].Lancet,2015,386(9988):85-96.
[15]李雯.针对性营养干预联合个性化护理在溃疡性结肠炎患者中的应用[J].农垦医学,2022,44(6):539-541.
基本信息:
DOI：10.20256/j.cnki.zgdxbl.20251229.013
中图分类号:R459.7;R576
引用信息:
[1]邱冰月,施家腾,金静,等.1例重症胰腺炎伴脓毒症休克的医学营养治疗[J].中国典型病例大全,2026,20(01):22-25.DOI:10.20256/j.cnki.zgdxbl.20251229.013.
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