| 肠外营养致再喂养综合征一例 |
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| 引用本文： | 杨茂宪,朱建刚,沈东锋,王丽燕,宦才娟,施云超. 肠外营养致再喂养综合征一例[J]. 中华重症医学电子杂志, 2019, 5(4): 379-382. DOI: 10.3877/cma.j.issn.2096-1537.2019.04.016 |
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| 作者姓名： | 杨茂宪 朱建刚 沈东锋 王丽燕 宦才娟 施云超 |
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| 作者单位： | 1. 314001 浙江嘉兴,嘉兴学院附属第一医院ICU 浙江省嘉兴市第一医院ICU2. 314001 浙江嘉兴,嘉兴学院附属第一医院全科医学科3. 310003 浙江杭州,浙江大学医学院附属第一医院呼吸科 |
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| 基金项目： | 国家自然科学基金资助项目(81700064); 浙江省嘉兴市科技计划项目(2018AY32017) |
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| 摘 要： | 再喂养综合征是营养不良患者接受营养支持的常见并发症,尤其是数月内体质量下降超过10%的患者。患者常表现为低血压、呼吸急促、胸闷、意识障碍等临床表现,需要与其他疾病鉴别。当患者发生再喂养综合征时,去除诱因、纠正电解质紊乱、及时对心肺功能进行支持、调整营养治疗方案等能够获得较好的治疗效果。本例就1例营养不良患者接受营养支持发生再喂养综合征进行有相应的积极对症支持治疗进行介绍。
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| 关 键 词： | 再喂养综合征 肠外营养 低磷血症 |
| 收稿时间： | 2018-12-06 |
Refeeding syndrome lead to parenteral nutrition: a case report |
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| Maoxian Yang,Jiangang Zhu,Dongfeng Shen,Liyan Wang,Caijuan Huan,Yunchao Shi. Refeeding syndrome lead to parenteral nutrition: a case report[J]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2019, 5(4): 379-382. DOI: 10.3877/cma.j.issn.2096-1537.2019.04.016 |
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| Authors: | Maoxian Yang Jiangang Zhu Dongfeng Shen Liyan Wang Caijuan Huan Yunchao Shi |
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| Affiliation: | 1. Department of Critical Care Medicine, the First Hospital of Jiaxing, First Affiliated Hospital of Jiaxing University, Jiaxing 314001, China2. Department of General Practice, the First Hospital of Jiaxing, First Affiliated Hospital of Jiaxing University, Jiaxing 314001, China3. Department of Respiratory, the Affiliated First Hospital, Zhejiang University, Hangzhou 310003, China |
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| Abstract: | Refeeding syndrome is a common complication of malnutrition patients receiving nutritional support, especially in patients with a lost of more than 10% body weight during a few last months. Patients often present with clinical manifestations such as hypotension, shortness of breath, chest tightness and disturbance of consciousness, which need to be differentiated from other diseases. When the patients suffer from refeeding syndrome, removal of incentives, correction of electrolyte disturbance, support for cardiopulmonary function, and adjustment of nutritional treatment programs can improve therapeutic effect. Here, we reported a case with feeding syndrome that occurred in a malnourished patient who received nutritional support. |
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| Keywords: | Refeeding syndrome Parenteral nutrition Hypophosphatemia |
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