Testerman E J
J Intraven Nurs. 1989 May-Jun;12(3):152-62.
When a pediatric patient is unable to meet his/her caloric needs, TPN is indicated. This therapy in the pediatric patient, as in adults, must promote anabolism, but also must provide for normal growth and development. In these patients, nutritional support may be considered an emergency due to their limited body stores of essential nutrients. Included in this manuscript are the historical evolution of pediatric TPN, indications for therapy, components of the solution, potential complications, monitoring guidelines, and nursing care. Furthermore, it will be shown how a multidisciplinary approach has made this therapy successful and aided in the decline of morbidity and mortality in selected pediatric patients.
当儿科患者无法满足其热量需求时，就需要进行全胃肠外营养（TPN）。与成人患者一样，儿科患者的这种治疗必须促进合成代谢，同时还必须支持正常的生长发育。由于这些患者体内必需营养素储备有限，营养支持可被视为一种紧急情况。本文介绍了儿科TPN的历史演变、治疗指征、溶液成分、潜在并发症、监测指南及护理。此外，还将展示多学科方法如何使这种治疗取得成功，并有助于降低特定儿科患者的发病率和死亡率。
