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[小儿外科中的全胃肠外营养]

[Integral intravenous feeding in pediatric surgery].

作者信息

Silva-Cuevas A, Luis Barrera J, Gonzalez-Lara D, Rizzato E

出版信息

Arch Invest Med (Mex). 1977;8(1):61-70.

PMID:403874
Abstract

Forty newborns bearing several gastrointestinal conditions (congenital malformations, intestinal bypass, postinflammatory obstruction, malabsorption and enteritis) were treated with long-term integral parenteral nutrition. A solution made up of synthetic aminoacids, emulsion of lipids, glucose, electrolytes, vitamins, plasma and whole blood was perfused through a catheter introduced into central or peripheral veins. Temporal glucosuria and anemia were observed in some cases. In all but three cases urinary alpha amino nitrogen was normal. In some infected patients leucocytosis or leucopenia was found. After treatment, all patients showed adequate nutritional conditions, manifested by increase in body weight and healing of damaged tissues.

摘要

四十名患有多种胃肠道疾病(先天性畸形、肠道改道、炎症后梗阻、吸收不良和肠炎)的新生儿接受了长期全胃肠外营养治疗。一种由合成氨基酸、脂质乳剂、葡萄糖、电解质、维生素、血浆和全血组成的溶液通过插入中心静脉或外周静脉的导管进行灌注。部分病例出现了暂时性糖尿和贫血。除三例病例外,所有病例的尿α-氨基氮均正常。在一些感染患者中发现了白细胞增多或白细胞减少。治疗后,所有患者均表现出良好的营养状况,表现为体重增加和受损组织愈合。

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