重症患儿营养支持的风险和对策  

Evaluation and management of the risks of nutritional support in critically ill children

作　　者：钱素云[1] 高恒淼[1] 

机构地区：[1]首都医科大学附属北京儿童医院急救中心,100045

出　　处：《中国小儿急救医学》2012年第2期114-117,共4页Chinese Pediatric Emergency Medicine

摘　　要：营养支持，包括肠外营养和肠内营养，已成为危重患儿治疗的重要组成部分，营养支持的风险也越来越受到关注。营养支持的并发症包括与营养支持通路相关的机械性损伤、导管相关性血流感染、肠内营养不耐受和代谢性并发症。这些并发症大部分可以预防，评估和控制风险因素是最有效的预防方法，预防和治疗并发症是保证成功进行营养支持、改善患儿预后的关键。Nutrition support, including parenteral nutrition and enteral nutrition, has been one of the important treatment for critical illness in children. The risk of nutrition support attracts more and more attention. The complications of nutrition support include nutrition support access associated mechanical injuries, cath- eter related bloodstream infection, enteral nutrition intolerance and metabolic complications. Most of these complications are preventable. The most effective prevention is evaluating and controlling the risk factors. Prevention and treatment of the complications is the key of successful nutrition support and improving the prognosis.

关 键 词：肠外营养 肠内营养 危重症 儿童 

分 类 号：R720.597[医药卫生—急诊医学]