Barzaghi A, Rovelli A, Piroddi A, Balduzzi A, Pirovano L, Colombini A, Uderzo C
Clinica Pediatrica dell' Universita' di Milano, Ospedale San Gerardo, Monza, Italy.
Pediatr Hematol Oncol. 1996 Jul-Aug;13(4):349-58. doi: 10.3109/08880019609030841.
Total parenteral nutrition (TPN) is an important issue in supportive care of children with leukemia. We studied 131 consecutive children (87 male, 44 female) with hematological malignancies who received TPN at our center from July 1984 to July 1990 with the aim of evaluating the efficacy and complications of TPN. The use of TPN was associated with lack of any alteration of the anthropometric indexes used in this study. The complications were prevalently metabolic, generally mild, and easily controlled. Laboratory monitoring of nutritional status during TPN is probably of little value in this setting. The feasibility of in-ward preparation of TPN by nurses makes TPN possible at low cost provided that patients are selected carefully.
全胃肠外营养（TPN）是白血病患儿支持治疗中的一个重要问题。我们研究了1984年7月至1990年7月期间在我们中心接受TPN治疗的131例连续血液系统恶性肿瘤患儿（87例男性，44例女性），目的是评估TPN的疗效和并发症。TPN的使用与本研究中所采用的人体测量指标无任何改变相关。并发症主要为代谢性，一般较轻且易于控制。在这种情况下，TPN期间营养状况的实验室监测可能价值不大。护士在病房内配制TPN的可行性使得只要仔细挑选患者，TPN就能以低成本实施。
