De Haro Karina, Toledo Karen, Fonseca Yolanda, Arenas Diego, Arenas Humberto, Leonher Karla
Servicio de Nutricion Clínica, Unidad de Falla Intestinal SANVITE, Guadalajara..
Servicio de Cirugía General, Unidad de Falla Intestinal SANVITE, Guadalajara. Mexico..
Nutr Hosp. 2014 Oct 3;31(2):988-91. doi: 10.3305/nh.2015.31.2.8143.
Hyperemesis gravidarum is a state of severe nausea and vomiting during pregnancy, leading to dehydration, electrolyte and acid-base disorders, malnutrition and weight loss (> 5%). The prevalence of hyperemesis gravidarum is 0.3-2.3% of all pregnancies.
To demonstrate the effectiveness of nutritional support in a case of a complicated hyperemesis gravidarum. A case of a 25 years old woman with hyperemesis gravidarum, who had weight loss of 17.7%, dehydration, electrolyte disorders and arrhythmias, managed with enteral and parenteral nutrition at home until week 26 of gestation reaching to cover 70% of her caloric requirements orally, getting a healthy product and a stable nutritionally mother in late pregnancy.
The multidisciplinary management and specialized nutritional management in such cases it is compulsory to carry the patient and the product at the end of pregnancy in optimal conditions.
妊娠剧吐是孕期严重恶心和呕吐的一种状态，可导致脱水、电解质及酸碱平衡紊乱、营养不良和体重减轻（>5%）。妊娠剧吐在所有妊娠中的发生率为0.3%-2.3%。
证明营养支持在一例复杂妊娠剧吐病例中的有效性。一名25岁妊娠剧吐女性患者，体重减轻17.7%，伴有脱水、电解质紊乱和心律失常，在家中接受肠内和肠外营养治疗直至妊娠26周，口服营养达到其热量需求的70%，最终在妊娠晚期获得健康状态和营养状况稳定的母亲。
在此类病例中，多学科管理和专业营养管理对于使患者在妊娠末期处于最佳状态并获得健康结局至关重要。
