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孕期胃肠外营养支持:病例报告

Hyperalimentation during pregnancy: a case report.

作者信息

Martin R, Trubow M, Bistrian B R, Benotti P, Blackburn G L

出版信息

JPEN J Parenter Enteral Nutr. 1985 Mar-Apr;9(2):212-5. doi: 10.1177/0148607185009002212.

DOI:10.1177/0148607185009002212
PMID:3921737
Abstract

Severe, prolonged hyperemesis gravidarum was managed with total parenteral nutrition throughout three trimesters. Reversal of maternal weight loss and adequate fetal growth were achieved. A viable, large for gestational age infant was delivered prematurely at 34 wk. Serum values for selected nutrients, taken at delivery from maternal and cord blood, suggest that present estimates of parenteral nutritional needs for vitamins and minerals during pregnancy are probably low. An important corollary to maternal weight gain and caloric intake is to provide adequate nutrition as early as possible for optimal fetal weight gain.

摘要

整个孕期,严重且持续时间长的妊娠剧吐采用全胃肠外营养进行治疗。实现了孕妇体重减轻的逆转以及胎儿的充分生长。一名孕34周的适于胎龄的存活婴儿早产。分娩时从母血和脐血中获取的特定营养素血清值表明,目前对孕期维生素和矿物质胃肠外营养需求的估计可能偏低。孕妇体重增加和热量摄入的一个重要推论是尽早提供充足营养以实现最佳的胎儿体重增加。

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