中国实用儿科杂志

中国实用儿科杂志

• 专题笔谈 • 上一篇    下一篇

肠外营养监测及并发症处理

  

  1. 中国医科大学附属盛京医院小儿急诊急救内科，辽宁  沈阳  110004
  • 出版日期:2016-09-06 发布日期:2016-09-09

Mornitoring of parenteral nutrition and management of complication

  1. Pediatric Intensive Care Unit，Shengjing Hospital of China Medical University， Shenyang  110004，China
  • Online:2016-09-06 Published:2016-09-09

摘要：

肠外营养（PN）是不能通过口或肠道为患儿提供足够营养时，所采取的一项挽救生命的治疗措施，可预防或改善营养不良，并保证患儿的生长发育需要。相比经口喂养或肠内营养，PN花费多，并可引起严重并发症。因此，需要严密监测，建立多学科的营养支持团队，避免所提供的营养不均衡或营养过度，严格进行无菌操作，以减少导管相关感染，有可能的情况下尽可能强化肠内营养，减少PN的量和时间。

关键词: 肠外营养, 监测, 并发症

Abstract:

Parenteral nutrition (PN) is an essential and often life-saving treatment for infants and children who cannot be adequately fed orally or enterally, to prevent or correct malnutrition, and to sustain appropriate growth. PN is more costly and can induce severe complications than oral nutrition or EN. The complications is reduced by a meticulous mornitoring, establishment of a multidisciplinary nutrition support team, avoidance of unbalanced or excessive substrate supplies, strict hygiene measures to reduce catheter infections, and forceful enhancement of enteral feeding where possible to limit the amount and duration of PN.

Key words: parenteral nutrition, monitor, complication