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一家志愿医院中的肠外营养并发症

Parenteral nutrition complications in a voluntary hospital.

作者信息

Jones K W, Seltzer M H, Slocum B A, Cataldi-Betcher E L, Goldberger D J, Wright F R

出版信息

JPEN J Parenter Enteral Nutr. 1984 Jul-Aug;8(4):385-90. doi: 10.1177/0148607184008004385.

DOI:10.1177/0148607184008004385
PMID:6431128
Abstract

A prospective study analyzing the complications in 307 patients who had specialized nutrition support administered by their private practitioners was performed and compared to other series in which a nutrition support service exclusively provided such care of patients. The mechanical complication rate of 4.6%, septic complication rate of 2.9%, and metabolic complication rate of 4.2% compared favorably with the reported literature. A new category of complications, the judgmental complication, is described and was 12.7% in the reported series. The Saint Barnabas Medical Center experience suggests that individual practitioners can satisfactorily administer intravenous specialized nutrition support if in fact an involved nutrition support service functions administratively and supportively in the background.

摘要

对307例由私人执业医生提供特殊营养支持的患者的并发症进行了一项前瞻性研究,并与其他由专门的营养支持服务机构专门为患者提供此类护理的系列研究进行了比较。4.6%的机械并发症发生率、2.9%的感染并发症发生率和4.2%的代谢并发症发生率与已发表的文献相比有优势。本文描述了一种新的并发症类别,即判断性并发症,在本报告系列中的发生率为12.7%。圣巴纳巴斯医疗中心的经验表明,如果有一个相关的营养支持服务机构在幕后进行管理和提供支持,个体执业医生可以令人满意地实施静脉特殊营养支持。

相似文献

1
Parenteral nutrition complications in a voluntary hospital.一家志愿医院中的肠外营养并发症
JPEN J Parenter Enteral Nutr. 1984 Jul-Aug;8(4):385-90. doi: 10.1177/0148607184008004385.
2
Total parenteral nutrition: a safe procedure in the small community hospital?全胃肠外营养:小型社区医院中的安全操作?
Crit Care Med. 1977 Sep-Oct;5(5):241-4.
3
The incidence and prevention of complications of total parenteral nutrition.
Nebr Med J. 1983 Oct;68(10):321-5.
4
[Septic complications, due to the catheter, in parenteral nutrition and continuous peridural anesthetic block. Cases from an intensive care center].[肠外营养及连续硬膜外麻醉阻滞中导管所致的脓毒症并发症。来自重症监护中心的病例]
Minerva Anestesiol. 1980 Oct;46(10):1117-21.
5
A review of total parenteral nutrition.全胃肠外营养综述
AANA J. 1979 Jun;47(3):323-6.
6
Metabolic complications of total parenteral nutrition.全胃肠外营养的代谢并发症
Contrib Nephrol. 1981;27:1-11. doi: 10.1159/000396122.
7
[Metabolic imbalance during total parenteral nutrition. Experience in subjects with degenerative neurological diseases].[全胃肠外营养期间的代谢失衡。退行性神经系统疾病患者的经验]
Arch Sci Med (Torino). 1982 Jul-Sep;139(3):339-40.
8
A complication of IVH catheterization.
Nihon Geka Hokan. 1978 Sep 1;47(5):637-9.
9
Central vein thrombosis associated with intravenous feeding--a prospective study.
JPEN J Parenter Enteral Nutr. 1981 May-Jun;5(3):240-2. doi: 10.1177/0148607181005003240.
10
Central venous alimentation: a prospective study of the frequency of metabolic abnormalities among medical and surgical patients.
JPEN J Parenter Enteral Nutr. 1982 Sep-Oct;6(5):421-5. doi: 10.1177/0148607182006005421.

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Acute mediastinitis secondary to delayed vascular injury by a central venous catheter and total parenteral nutrition.中心静脉导管和全胃肠外营养导致血管损伤延迟继发急性纵隔炎。
J Dent Anesth Pain Med. 2015 Mar;15(1):31-34. doi: 10.17245/jdapm.2015.15.1.31. Epub 2015 Mar 31.
2
Central venous catheter vascular erosions. Diagnosis and clinical course.中心静脉导管血管侵蚀。诊断与临床病程。
Ann Surg. 1989 Apr;209(4):475-8. doi: 10.1097/00000658-198904000-00014.