论文部分内容阅读
完全胃肠外营养(total parenteral nutrition,TPN)是近代医学的重大发展之一,TPN 已不再是单纯供给能量的方法,而且是治疗疾病的重要措施之一。在提高危重患者救治成功率,增进手术与非手术疗效,改善患者恶性肿瘤生活质量等方面,越来越发挥其重要作用,受到医学界的普遍重视。然而在进行 TPN 治疗的过程中,仍然会发生各种并发症,其中导管败血症(catheter related sepsis,CRS)是一个尚未解决,值得重视的问题。TPN 的感染源有被污染的营养液,导管结合部污染,插管点皮肤的感染,以及来自全身其它部位感染灶的菌血症。常发生在肠外瘘、急性重症胰腺炎、恶性肿
Total parenteral nutrition (TPN) is one of the major developments in modern medicine. TPN is no longer simply a method of energy supply, but also one of the important measures for the treatment of diseases. It has been playing an increasingly important role in improving the success rate of critically ill patients, improving the surgical and non-surgical outcomes, and improving the quality of life of patients with malignant tumors. It is widely regarded by the medical community. However, during the course of TPN treatment, various complications still occur. Among them, catheter related sepsis (CRS) is an unresolved and worthy issue. The source of TPN infection is contaminated nutrient solution, catheter junction contamination, intubation of skin infections, and other parts of the body from the infection foci of bacteremia. Often occurs in the intestinal fistula, acute severe pancreatitis, malignant