Kaido Takanobu, Hashimoto Hiroshi, Okamura Hideo, Tsukaguchi Katsuhiko
Department of Neurosurgery, Nishinara National Hospital, Nara-city, Nara, Japan.
J Clin Neurosci. 2005 Feb;12(2):205-6. doi: 10.1016/j.jocn.2003.11.015.
Patients with neurological illnesses often require prolonged enteral or parenteral nutrition. The complications of this type of feeding may be unfamiliar to neurosurgeons and neurologists, however, these complications may be an important source of ongoing morbidity. We present a case of severe anemia due to copper deficiency in a patient requiring enteral nutrition after SAH. The anemia resolved with copper supplements. A high index of suspicion is needed to recognise and treat complications of enteral nutrition.
患有神经系统疾病的患者通常需要长期肠内或肠外营养。然而，神经外科医生和神经科医生可能并不熟悉这种喂养方式的并发症，不过，这些并发症可能是持续发病的一个重要来源。我们报告一例蛛网膜下腔出血（SAH）后需要肠内营养的患者因铜缺乏导致严重贫血的病例。补充铜后贫血得以缓解。需要高度怀疑才能识别和治疗肠内营养的并发症。
