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一名重度创伤性脑损伤儿科患者的营养强化支持:病例报告

Nutritional Intensive Support in a Pediatric Patient With Severe Traumatic Brain Injury: A Case Report.

作者信息

Lee In Seok, Kang Kyounglan, Chung Yun Mi, Lee Junghwa

机构信息

Department of Nutrition, Kyung Hee University Medical Center, Seoul 02447, Korea.

出版信息

Clin Nutr Res. 2024 Jul 25;13(3):149-155. doi: 10.7762/cnr.2024.13.3.149. eCollection 2024 Jul.

Abstract

Estimating the nutritional requirements for pediatric patients requires a comprehensive approach with various factors including age, gender, body mass index, and physical activity level, due to the significant growth and developmental changes observed in this population. This complexity renders the use of a simplistic generalization or a standard formula impractical. A number of methodologies have been established to calculate nutritional needs for the pediatric population. However, the application of these methodologies is challenging due to the variability in the aforementioned factors. Determining nutritional requirements for pediatric patients with underlying medical conditions is complicate, influenced by variables such as the nature of the illness, treatment modalities, and the patient's overall condition. Nutritional support in severely traumatically brain-injured pediatric patients is directly correlated with prognosis and growth outcomes. Therefore, this case study aims to validate existing methodologies for estimating nutritional requirements in pediatric patients with severe traumatic brain injury and to provide primary data for the development of effective nutritional support strategies. A case of a 5-year-old male patient admitted to the intensive care unit due to severe traumatic brain injury is examined. Future case studies and ongoing research are imperative to ensure the safe and effective nutritional support of pediatric patients with severe traumatic brain injury.

摘要

由于儿科患者群体存在显著的生长发育变化,因此估算其营养需求需要综合考虑多种因素,包括年龄、性别、体重指数和身体活动水平。这种复杂性使得使用简单的概括或标准公式并不实际。已经建立了多种方法来计算儿科人群的营养需求。然而,由于上述因素的变异性,这些方法的应用具有挑战性。确定患有基础疾病的儿科患者的营养需求很复杂,会受到疾病性质、治疗方式和患者整体状况等变量的影响。严重创伤性脑损伤儿科患者的营养支持与预后和生长结果直接相关。因此,本案例研究旨在验证现有估算重度创伤性脑损伤儿科患者营养需求的方法,并为制定有效的营养支持策略提供原始数据。本文研究了一名因严重创伤性脑损伤入住重症监护病房的5岁男性患者的病例。未来的案例研究和正在进行的研究对于确保重度创伤性脑损伤儿科患者获得安全有效的营养支持至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e12/11333151/e3148b00257f/cnr-13-149-g001.jpg

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