重症监护病房中儿科患者的营养
Nutrition in the pediatric population in the intensive care unit.
作者信息
Verger Judy
机构信息
Pediatric Acute Care Nurse Practitioner Program, Critical Care Department, School of Nursing, Children's Hospital of Philadelphia, University of Pennsylvania, 17 Ridings Way, Chadds Ford, PA 19317, USA; Pediatric Clinical Nurse Specialist Program, Critical Care Department, School of Nursing, Children's Hospital of Philadelphia, University of Pennsylvania, 17 Ridings Way, Chadds Ford, PA 19317, USA; Neonatal Clinical Nurse Specialist Program, Critical Care Department, School of Nursing, Children's Hospital of Philadelphia, University of Pennsylvania, 17 Ridings Way, Chadds Ford, PA 19317, USA.
出版信息
Crit Care Nurs Clin North Am. 2014 Jun;26(2):199-215. doi: 10.1016/j.ccell.2014.02.005.
Nutrition is an essential component of patient management in the pediatric intensive care unit (PICU). Poor nutrition status accompanies many childhood chronic illnesses. A thorough assessment of the critically ill child is required to inform the plan for nutrition support. Accurate and clinically relevant nutritional assessment, including growth measurements, provides important guidance. Indirect calorimetry provides the most accurate measurement of resting energy expenditure, but is too often unavailable in the PICU. To prevent inappropriate caloric intake, reassessment of the child's nutrition status is imperative. Enteral nutrition is the recommended route of intake. Human milk is preferred for infants.
营养是儿科重症监护病房（PICU）患者管理的重要组成部分。许多儿童慢性病都伴有营养状况不佳。需要对危重症儿童进行全面评估，以制定营养支持计划。准确且与临床相关的营养评估，包括生长测量，提供了重要指导。间接测热法能最准确地测量静息能量消耗，但在PICU中往往无法实现。为防止热量摄入不当，必须重新评估儿童的营养状况。肠内营养是推荐的摄入途径。婴儿首选母乳。
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