A 57-year-old woman who weighs 132 lb (60kg) is admitted to the ICU for acute pancreatitis complicated by acute kidney injury. She is requires hemodialysis(血液透析) every other day. Which of the following is the best nutrition regimen for this patient?
A. Place a nasojejunal (NJ ) tube（鼻空肠管） and feed continuous enteral 2000 kcal/d solution containing 120 g of protein daily.
B. Place a NO tube and feed continuous enteral 2000 kcal/d solution containing 80 g of protein daily.
C. Place a surgical jejunostomy tube and feed enteral 2000 kcal/d solution containing 115 g of protein daily in bolus fashion.
D. Place a peripherally inserted centralline and give parenteral 2000 kcal/d solution containing 120 g of protein daily.
E. Place a NO tube and begin feeding todeliver 1800 kcal/d and 60 g of protein a day.
答案解析：
在 ICU 接受肾脏替代治疗的肾衰竭患者的理想方案是蛋白质1.5至2.0 g/kg/d。在重度急性胰腺炎中，首选肠内营养，使用胃与空肠喂养之间无结局差异，但放置外科空肠造瘘管存在其固有风险。此外，在这种情况下，患者更容易耐受连续喂养。
正确答案：A
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