儿童先天性心脏病围术期营养支持的研究

先天性心脏病是常见的先天性疾病，随着外科手术和围手术期护理的进步，外科治疗的手术年龄越来小，由于手术后强烈的应激反应、再灌注损伤、代谢亢进状态、机械通气等因素均可导致能量需求增加，术后食物摄入不足、吸收不良、限制补液、各种药物和术后并发症等会加重儿童营养不良，增加儿童的死亡率。本文综述了国内外CHD患儿围术期营养支持的最新进展，为临床决策提供参考。

Perioperative Nutritional Support in Children with Congenital Heart Disease

Congenital heart disease is a common congenital disease. With the advancement of surgery and perioperative care, the age of surgery for surgical treatment is getting smaller, due to strong stress response, reperfusion injury, and hypermetabolism after surgery. Factors such as mechanical ventilation can lead to increased energy demand. Postoperative food intake, malabsorption, limited fluid replacement, various drugs and postoperative complications can increase child malnutrition and increase child mortality. This article reviews the recent advances in perioperative nutritional support for children with CHD at home and abroad, and provides a reference for clinical decision-making.