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腭裂婴儿因缺乏及时诊断和适当干预而导致营养不良。

Lack of Immediate Diagnosis and Appropriate Intervention Leads to Malnutrition in an Infant With Cleft Palate.

作者信息

Williams Jessica L, Halvorson Megan, Kotlarek Katelyn J

出版信息

J Pediatr Health Care. 2025 Jan-Feb;39(1):101-106. doi: 10.1016/j.pedhc.2024.07.004. Epub 2024 Jul 22.

DOI:10.1016/j.pedhc.2024.07.004
PMID:39046401
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11646187/
Abstract

This case report describes a full-term infant with a cleft palate who experienced malnutrition because of the delayed introduction of a cleft-adapted bottle and identifies potential areas for improvement in clinical practice. The infant's weight for age z-score at birth was 0.05 and dropped to -1.45 by 2 months of age, indicating mild malnutrition. The infant established care with a cleft team and a cleft-adapted bottle was recommended as the primary feeding method. Feeding time subsequently decreased from 60 minutes per feeding to 20 minutes. The infant presented for palate repair at 9 months of age, and his z-score was -0.01, indicating he was no longer malnourished. Cleft-adapted bottles aid in feeding efficiency in infants with cleft palate, which may subsequently impact weight gain. Appropriate weight gain is essential to receive timely cleft palate repair and support healing.

摘要

本病例报告描述了一名患有腭裂的足月儿，因适应腭裂的奶瓶引入延迟而出现营养不良，并确定了临床实践中潜在的改进领域。该婴儿出生时年龄别体重Z评分是0.05，到2月龄时降至-1.45，表明存在轻度营养不良。该婴儿由腭裂治疗团队进行护理，并推荐使用适应腭裂的奶瓶作为主要喂养方法。随后每次喂养时间从60分钟减少到20分钟。该婴儿9月龄时接受腭裂修复手术，其Z评分为-0.01，表明他不再营养不良。适应腭裂的奶瓶有助于提高腭裂婴儿的喂养效率，这可能随后影响体重增加。适当的体重增加对于及时进行腭裂修复和支持愈合至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/acec/11646187/0e082f29590d/nihms-2008504-f0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/acec/11646187/7b3d94426fdd/nihms-2008504-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/acec/11646187/10b0ac74202d/nihms-2008504-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/acec/11646187/cdbd2cfb2554/nihms-2008504-f0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/acec/11646187/0e082f29590d/nihms-2008504-f0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/acec/11646187/7b3d94426fdd/nihms-2008504-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/acec/11646187/10b0ac74202d/nihms-2008504-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/acec/11646187/cdbd2cfb2554/nihms-2008504-f0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/acec/11646187/0e082f29590d/nihms-2008504-f0004.jpg

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The effect of short-term preoperative nutritional intervention for cleft surgery eligibility.短期术前营养干预对腭裂手术适应证的影响。
BMC Nutr. 2023 Mar 14;9(1):47. doi: 10.1186/s40795-023-00704-1.
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