Nutrition support of severe illness patients of general surgery during peroperation period

Objective:To study the clinical effect of the nutrition support of severe illness patients of general surgery during perioperation period.Methods:To analyse application of the nutrition support applied to 147 cases with severe illness of general surgery in perioperation period since 1995.In 147 cases,there were abdominal operations ( n =138,93 9%) and cervical operations (n =9,6 1%) and emergency operations ( n =63, 42 8%).Total parenteral nutrition(TPN) was used by venous cannal ways including internal juglar vein ( n =132,89 8%),axillary vein ( n =11,7 5%),femoral vein ( n =4,2 7%),used unicameral catheter ( n =127, 86 4%),double catheter ( n =20,13 6%),41 cases were used enternal nutrition.Two different nutritional support treatments were employed, one was TPN→parenteral nutrition(PN)+oral diet→oral diet ( n =106, 72 1%) and another was TPN→PN+enteral nutrition(EN)→EN→EN+oral diet→oral diet ( n =41, 27 9%).Results:There were not complications of catheterization and metabolism in the nutrition support, 142 cases (96 6%) had been cured and 5 cases (3 4%) died of primary diseases after operation. Conclusion: The nutrition support of patients with severe illness of general surgery in perioperation period is an important adjuvant treatment that can assure operative safety and promote recovery on postoperation.