慢性肠衰竭的诊断与营养管理  

The diagnosis and nutritional management of chronic intestinal failure

作　　者：李海龙[1] 李融融[1] Li Hailong;Li Rongrong(Beijing Key Laboratory of the Innovative Development of Functional Staple and the Nutritional Intervention for Chronic Disease,Department of Clinical Nutrition,Peking Union Medical College Hospital,Beijing 100730,China)

机构地区：[1]中国医学科学院,北京协和医学院,北京协和医院临床营养科,功能主食创制与慢病营养干预北京市重点实验室,100730

出　　处：《中华临床营养杂志》2022年第6期334-339,共6页Chinese Journal of Clinical Nutrition

基　　金：中央高水平医院临床科研专项(2022-PUMCH-A-146)。

摘　　要：慢性肠衰竭是一类以长期宏量营养素和(或)水和电解质肠道吸收功能障碍为核心的临床危重疾病, 具有临床表现、治疗及预后的异质性, 往往需要多学科的综合管理。文章综述了目前对于慢性肠衰竭定义的认识, 并以短肠综合征为重点阐述了目前对此类疾病的营养管理原则, 以期促进慢性肠衰竭在我国的合理临床诊治。Chronic intestinal failure represents a long-lasting condition of intestinal dysfunction that contributes to inadequate absorption of macronutrients and/or water and electrolytes. It is heterogeneous in clinical manifestation, intervention and prognosis, and usually requires multi-disciplinary management. This review elucidates the state-of-the-art consensus on diagnosis and definition in chronic intestinal failure and exemplifies relevant nutritional management principles with interventions in short bowel syndrome, in hopes of improving the identification and management of chronic intestinal failure in domestic practice.

关 键 词：慢性肠衰竭 短肠综合征 营养支持 

分 类 号：R574[医药卫生—消化系统]