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小儿肠衰竭长期营养相关问题探讨

Long-term nutrition-related problems in children with intestinal failure
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摘要 小儿肠衰竭(intestinal failure,IF)是由于肠切除或梗阻、肠道运动障碍、先天性肠缺陷或疾病导致肠道吸收障碍,使机体无法维持能量、液体、电解质或微量营养素平衡的疾病状态,需要依赖肠内营养(enteral nutrition,EN)和肠外营养(parenteral nutrition,PN)支持。IF治疗过程中会发生一些并发症,包括:肠衰竭相关性肝病、导管相关血流感染、小肠细菌过度生长和微量营养素缺乏等,需要引起临床医生的重视。 Intestinal failure(IF)is the reduction in intestinalmass or function below the minimal amount necessary foradequate digestion,absorption and appropriate growth inchildren.It leads to the inability to maintain nutritional,fluid,and electrolyte status while consuming a regular oral diet.These children will depend on enteral nutrition(EN)andparenteral nutrition(PN)support.We need pay more attentionto the complications which occured during treatment,such asintestinal failure associated liver disease(IFALD),catheterrelated bloodstream infections(CRBSI),small intestinalbacterial overgrowth(SIBO)and micronutrient deficiency.
作者 王莹 WANG Ying(Division of Pediatric Gastroenterology and Nutrition,Xinhua Hospital,School of Medicine,Shanghai Jiao Tong University,Shanghai 200092,China)
出处 《中国实用儿科杂志》 CSCD 北大核心 2024年第4期255-258,共4页 Chinese Journal of Practical Pediatrics
关键词 肠衰竭 营养 并发症 intestinal failure nutrition complications
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