Wirth Rainer, Diekmann Rebecca, Fleiter Olga, Fricke Leonhardt, Kreilkamp Annika, Modreker Mirja Katrin, Marburger Christian, Nels Stefan, Schaefer Rolf, Willschrei Heinz-Peter, Volkert Dorothee
Klinik für Altersmedizin und Frührehabilitation, Marien Hospital Herne, Universitätsklinikum der Ruhr-Universität Bochum, Herne, Deutschland.
Lehrstuhl für Geriatrie, Ruhr-Universität Bochum, Bochum, Deutschland.
Z Gerontol Geriatr. 2018 Jan;51(1):34-40. doi: 10.1007/s00391-016-1160-8. Epub 2017 Jan 9.
The refeeding syndrome is a life-threatening complication that can occur after initiation of a nutrition therapy in malnourished patients. If the risk factors and pathophysiology are known, the refeeding syndrome can effectively be prevented and treated, if recognized early. A slow increase of food intake and the close monitoring of serum electrolyte levels play an important role. Because the refeeding syndrome is not well known and the symptoms may vary extremely, this complication is poorly recognized, especially against the background of geriatric multimorbidity. This overview is intended to increase the awareness of the refeeding syndrome in the risk group of geriatric patients.
再喂养综合征是一种可在营养不良患者开始营养治疗后发生的危及生命的并发症。如果了解危险因素和病理生理学，再喂养综合征一旦早期识别，就能得到有效预防和治疗。缓慢增加食物摄入量以及密切监测血清电解质水平起着重要作用。由于再喂养综合征并不广为人知，且症状差异极大，这种并发症很难被识别，尤其是在老年患者多种疾病并存的背景下。本综述旨在提高老年患者风险群体对再喂养综合征的认识。
