Section of Hospital Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Nutrition Services Department, Froedtert Hospital, Milwaukee, Wisconsin, USA.
Nutr Clin Pract. 2022 Feb;37(1):199-202. doi: 10.1002/ncp.10664. Epub 2021 May 6.
Parenteral nutrition (PN) is well recognized for its ability to provide nutrition to patients without the ability to digest enterally; however, PN must also be seen as a medication with associated adverse drug events similar to any other pharmacological agent that is administered to patients. Here we present a case report of localized lower back pain with central PN infusion. The initial areas of concern were the intravenous lipid emulsion, peripherally inserted central catheter placement, osmolarity of the formula, and the additives. The patient's back pain was ultimately felt to be an adverse reaction to the multivitamin component of the infusion based on an elimination trial of the PN components.
肠外营养（PN）因其能够为无法经肠道消化的患者提供营养而广为人知；然而，PN 也必须被视为一种药物，与给予患者的任何其他药理制剂一样，具有相关的不良药物事件。在这里，我们报告了一例局部下腰痛伴中心 PN 输注的病例。最初关注的领域是静脉内脂肪乳剂、外周插入的中心导管放置、配方的渗透压和添加剂。根据 PN 成分的排除试验，患者的背痛最终被认为是对输注的多种维生素成分的不良反应。
