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长期全胃肠外营养对一名极度营养不良的囊性纤维化患者的有益作用。

Beneficial effect of prolonged total parenteral nutrition in a very malnourished cystic fibrosis patients.

作者信息

Antonelli M, Cappello G, Cortinovis A M, De Pinto M, Bertasi S

机构信息

Pediatric Department, University of Rome La Sapienza.

出版信息

Acta Univ Carol Med (Praha). 1990;36(1-4):174-6.

PMID:2130688
Abstract

A very malnourished Cystic Fibrosis (CF) patient was treated with integrative Parenteral Nutrition (PN). With a mean caloric supplementation of 2,550 Kcal/day a weight gain of 6.5 Kg was achieved. In spite of severe pulmonary complications (pneumotorax and pneumomediastinum), pO2 increased from 53 to 72 mmHg and pCO2 from 38 to 56 mm Hg. General conditions improved, appetite was restored and the patient cleared off continuous oxygen therapy; he left the hospital and did not present any more pulmonary exacerbations. In the following 8-month period he maintained a daily caloric intake of 80 Kcal/kg with a further weight gain of 4.5 Kg.

摘要

一名严重营养不良的囊性纤维化(CF)患者接受了肠外营养(PN)综合治疗。平均每日热量补充为2550千卡,体重增加了6.5千克。尽管出现了严重的肺部并发症(气胸和纵隔气肿),但动脉血氧分压(pO2)从53毫米汞柱升至72毫米汞柱,动脉血二氧化碳分压(pCO2)从38毫米汞柱升至56毫米汞柱。患者的一般状况有所改善,食欲恢复,停止了持续吸氧治疗;他出院后未再出现肺部病情加重的情况。在接下来的8个月里,他每日热量摄入量维持在80千卡/千克,体重又增加了4.5千克。

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