腸外營養對呼吸功能不全患者的影響_《中國普外基礎與臨床雜志》

作者：

華西醫科大學附屬第一醫院加強醫療病房(成都610041);

關鍵詞：

腸外營養脂肪乳劑呼吸衰竭危重患者血氣分析

視頻：

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從加強醫療病房的危重患者中選取因呼吸衰竭而給予呼吸機支持的患者40例，隨機分為A組20例進行腸外營養(parenteral nutrition,PN)治療；B組20例未行PN治療。對通氣/換氣功能各指標進行分析，結果兩組患者的呼吸頻率、pH、PaO2、PaCO2及HCO3-無明顯差異；A組氧分壓與吸入氣氧濃度比值輕度降低，而肺泡-動脈氧壓差及肺內分流明顯升高。提示PN中的脂肪乳和高糖可能是導致呼吸功能改變的重要因素。

引用本文： 康焰,吳言濤,羅傳興,應明英,王兵. 腸外營養對呼吸功能不全患者的影響. 中國普外基礎與臨床雜志, 1997, 4(1): 27-29. doi: 復制

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1. Zakinthinos S,Baltopoulos G,Roussos C.Fat emusion and ARDS.Chest,1990;98(2):509.
2. Hwang TL,Huang SL,Chen MF.Effects of intravenous fat emulsion on respiratory failure.Chest,1990;97(4):934.
3. Green HL,Hazlett D,Demaree R.Relationship between intralipid-induced hyperlipemia and pulmonary function.Am J Clin Nutr,1976;29:127.
4. Sundstron G,Zauner CZ,Arborelius M.Decrease in pulmonary diffusing capacity during lipid infusion in healthy men.J Appl Physiol,1973;34:816.
5. Kuo PT,Whereat AF.Lipemia as a cause of arterial oxygen unsaturation,and the effect of its control in patients with atherosclerosis.Circulation,1957;16:493.
6. Venus B,Smith RA,Patel C,et al.Hemodynamic and gas exchange alterations during intralipid infusion in patients with adult respiratory distress syndrome.Chest,1989;95(6):1278.
7. Rubin M,Bilik R,Mor R,et al.Alteration of pulmonary function by filtration of intranenous nutrient mixture.Nutrition,1993;9(2):153.
8. Mathru M,Dries DJ,Zecca A,et al.Effect of fast vs slow intralipid infusion on gas exchange,pulmonary hemodynamics,and prostaglandin metabolism.Chest,1991;89(2):426.

《中國普外基礎與臨床雜志》

腸外營養對呼吸功能不全患者的影響

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《中國普外基礎與臨床雜志》

腸外營養對呼吸功能不全患者的影響

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

Format

Content

摘要全文圖表視頻參考文獻施引文獻補充材料