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异基因干细胞移植后窦性阻塞综合征患者的营养挑战:病例研究。

Nutrition challenges in a patient with sinusoidal obstructive syndrome following an allogeneic stem cell transplant: a case study.

机构信息

Baylor University Medical Center, Dallas, TX 75246, USA.

出版信息

Nutr Clin Pract. 2012 Oct;27(5):651-4. doi: 10.1177/0884533612457180. Epub 2012 Aug 14.

Abstract

Nutrition management of patients undergoing a hematopoietic stem cell transplant (HSCT) can be challenging. Fluid, macronutrient, and micronutrient needs are often altered due to a variety of therapy-associated complications and changes in metabolism. Sinusoidal obstructive syndrome (SOS) is a complication characterized by fluid retention, ascites, and painful hepatomegaly that may complicate provision of adequate nutrition to HSCT patients. The nutrition implications and interventions in a patient who developed SOS following an allogeneic matched unrelated donor (Allo/MUD) HSCT are reviewed in the case report.

摘要

造血干细胞移植(HSCT)患者的营养管理颇具挑战。由于各种治疗相关并发症以及代谢改变,患者的液体、宏量营养素和微量营养素需求常常发生变化。窦阻塞综合征(SOS)是一种并发症,其特征为液体潴留、腹水和肝肿大伴疼痛,这可能使 HSCT 患者的营养供给变得复杂。本病例报告回顾了一例接受异基因匹配无关供者(Allo/MUD)HSCT 后发生 SOS 的患者的营养影响和干预措施。

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