Ritz M A, Fraser R, Tam W, Dent J
Department of Gastrointestinal Medicine, Royal Adelaide Hospital, South Australia, Australia.
Am J Gastroenterol. 2000 Nov;95(11):3044-52. doi: 10.1111/j.1572-0241.2000.03176.x.
Disordered upper gastrointestinal tract motility occurs frequently in intensive care unit patients and often represents a substantial treatment challenge. In addition to specific complications such as pulmonary aspiration and diarrhea, abnormal gastrointestinal motility is a limiting factor for delivery and success of enteral nutrition. The pathophysiologies involved are incompletely understood because of the difficulties of making measurements of gastrointestinal function in critically ill patients. With the recent development of techniques that overcome some of these difficulties, the prospects are brighter for significant advances in this field.
上消化道动力障碍在重症监护病房患者中频繁发生，并且常常构成重大的治疗挑战。除了诸如肺误吸和腹泻等特定并发症外，胃肠动力异常是肠内营养的实施和成功的限制因素。由于在危重症患者中测量胃肠功能存在困难，所涉及的病理生理学尚未完全明了。随着最近克服其中一些困难的技术的发展，该领域取得重大进展的前景更加光明。
