Abstract: 【Abstract】 Objective〓To analyze the individualized program of nutritional support during perioperative period on a patient with pancreatic cancer. Methods〓A 48-year-old male with pancreatic cancer was performed a surgical procedure of pancreaticoduodenectomy..The clinical pharmacist participated in setting the reasonable nutrition support program, from total parenteral nutrition in initial stage to enteral nutrition and tube feeding enteral nutrition,.supplemented by semi-liquid diet finally for further treatment of the disease. Results〓With the involvement of clinical pharmacists,.surgeon developed and adjusted the patient’s nutrition support program and improved the nutritional status of the patient..The patient was enterally fed successfully and supplemented semi-liquid diet,.a critical transitional stage from TPN to TEN..The enteral nutrition was delivered early through a trans-anastomotic feeding tube. Conclusion〓By a reasonable nutritional management protocol for peri-operative patient of pancreaticoduodenectomy, the clinical pharmacist optimize the nutritional support program to ensure the good outcome.

Key words: Pancreaticoduodenectomy, Nutritional support

摘要： 【摘要】 目的 通过该病例探讨胰十二指肠切除术(PD)后患者营养支持治疗的个体化方案。方法 在1例胰十二指肠切除术后患者营养支持治疗过程中,临床药师协助临床医师制定合理的营养治疗方案:由初始给予全肠外营养支持,逐步过渡至肠内营养支持,最后患者以管饲肠内营养为主,辅以半流饮食,并作疾病的进一步治疗。结果 在临床药师的参与下,医师对患者营养治疗方案的制定和调整,改善患者的营养状况,患者顺利进入肠内营养支持阶段并辅以半流饮食,为疾病术后恢复奠定了基础。结论 临床药师通过对胰十二指肠切除患者的营养支持治疗过程的监护和分析,协助医师优化营养治疗方案,确保良好的治疗效果。

关键词: 营养支持, 胰十二指肠切除术