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肠外营养:风险、并发症及管理

Parenteral nutrition: risks, complications, and management.

作者信息

Worthington Patricia H, Gilbert Karen A

机构信息

Jefferson Interdisciplinary Nutrition Support Service, Department of Nursing, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania 19107, USA.

出版信息

J Infus Nurs. 2012 Jan-Feb;35(1):52-64. doi: 10.1097/NAN.0b013e31823b98ef.

Abstract

Parenteral nutrition is a life-saving modality, but one that also carries risks for potentially life-threatening complications. Comprehensive management of patients receiving parenteral nutrition includes careful selection of candidates, individualizing formulas to meet patients' unique needs, monitoring response to therapy, and implementing strategies designed to avoid complications. Measures to mitigate the risk of central line-associated bloodstream infections are particularly important. As with all complex therapies, a collaborative, multidisciplinary approach promotes optimal outcomes.

摘要

肠外营养是一种挽救生命的治疗方式,但也存在引发潜在危及生命并发症的风险。对接受肠外营养的患者进行全面管理,包括仔细挑选合适的患者、根据患者独特需求定制个体化配方、监测治疗反应以及实施旨在避免并发症的策略。减轻中心静脉导管相关血流感染风险的措施尤为重要。与所有复杂治疗一样,采用协作性的多学科方法可促进实现最佳治疗效果。

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