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妊娠需胰岛素治疗的糖尿病患者的全胃肠外营养

Total parenteral nutrition in a pregnant insulin-requiring diabetic.

作者信息

Lavin J P, Gimmon Z, Miodovnik M, von Meyenfeldt M, Fischer J E

出版信息

Obstet Gynecol. 1982 May;59(5):660-4.

PMID:6803201
Abstract

A 28-year-old class F diabetic woman whose pregnancy was complicated by gastroparesis, hemorrhagic gastritis, narcotic addiction, intrauterine fetal growth retardation, and severe preeclampsia was supported with total parenteral nutrition (TPN) from the 27th to the 29th week or pregnancy. During this period there was adequate control of serum glucose, a positive nitrogen balance, and a normal amino acid profile. Unfortunately, a rapid deterioration in renal function and hypertensive disease occurred, requiring cesarean section at the 29th gestational week. TPN was continued for an additional 30 days postoperatively until the gastritis resolved and adequate oral nutrition could be reestablished. Wound healing was satisfactory.

摘要

一名28岁的F级糖尿病女性,其妊娠合并胃轻瘫、出血性胃炎、麻醉品成瘾、胎儿宫内生长受限和重度子痫前期,在妊娠第27至29周接受了全胃肠外营养(TPN)支持。在此期间,血糖得到了充分控制,氮平衡为正,氨基酸谱正常。不幸的是,肾功能迅速恶化且出现高血压疾病,需要在妊娠第29周进行剖宫产。术后继续TPN治疗30天,直到胃炎痊愈且能重新建立充足的口服营养。伤口愈合良好。

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