Madl C, Madl U
4. Medizinische Abteilung mit Gastroenterologie und Hepatologie, Krankenanstalt Rudolfstiftung, Juchgasse 25, 1030, Wien, Österreich.
Medizinische Fakultät, Sigmund Freud PrivatUniversität, Wien, Österreich.
Med Klin Intensivmed Notfmed. 2018 Jun;113(5):433-442. doi: 10.1007/s00063-018-0446-6. Epub 2018 May 25.
Up to 80% of all critically ill patients develop gastrointestinal dysfunction, predominantly gastrointestinal motility disorder. In critically ill patients, gastrointestinal dysfunction or gastrointestinal failure is associated with increased morbidity and mortality. Correct diagnosis and early start of treatment are essential and can influence the outcome. Therapeutic options are normal potassium and magnesium levels, restrictive fluid balance, improved gastrointestinal microcirculation, individual sedoanalgetic concepts and early enteral nutrition. In addition, numerous target-oriented medical therapeutic options are available.
高达80%的重症患者会出现胃肠功能障碍，主要是胃肠动力紊乱。在重症患者中，胃肠功能障碍或胃肠衰竭与发病率和死亡率增加相关。正确诊断并尽早开始治疗至关重要，且会影响治疗结果。治疗选择包括正常的钾和镁水平、限制性液体平衡、改善胃肠微循环、个体化的镇静镇痛方案以及早期肠内营养。此外，还有许多靶向性的医学治疗选择。
