1、 肠内营养的困惑与思考宁波市第一医院 朱建华重症患者第一周：营养该怎么给？Invited Review ILEA创NC THE SCli:NCE AP.1= - IPR.AC胃口E OFCLI咱C,L hllT叮币咱Should We Aim for Full Enteral Feeding in the First Week of 1Critical Illness?Nutrition i.n Clinical Practice Volume XX Number X Month 20lX 1-7 2016 American Societyfor !Parenteral and !Enter百
2、Nutrition. DOI: 10.1177/hosted SAGEStephen A. McClave, MD1; Panna Codner, 1102; Jayshil Patel, 1103;Rya n T.Hurt, 1110, PHD4; Karen Allen, 1VID5; and Robert G. ltlartindale 如ID, PHD6Studies Showing Better Outcomes With Permissive Underfeeding Versus Full Feeding.2014 INTACT trialJournal of Parenteral and Enteral NutritionStandard Nutrition Support Care入院后根据不同中心习惯开始肠内营养4h内胃残留量250ml、呕吐、怀疑误吸则暂 停EN插管后72-96h无法实施EN则开始PN 拔管后根据情况决定是否经口进食Intensive medical nutrition therapy血流动力学稳定后6h即开始EN 24小时内开始EN严密监测EN入量，如中间间断，提高 速度达到每日目标热量 拔管后如吞咽功能正常则经口进食Acute Lung Injury结果：
