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頁籤選單縮合
題名 | 靜脈營養於極低體重早產兒之探討=Parenteral Nutrition in Infants with Extremely-low-birth-weight |
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作者姓名(中文) | 陳力宇; 李佩芷; 陳宜屏; 廖玲巧; | 書刊名 | 藥學雜誌 |
卷期 | 35:3=140 2019.09[民108.09] |
頁次 | 頁46-52 |
分類號 | 417.5171 |
關鍵詞 | 極低體重早產兒; 壞死性腸炎; 全靜脈營養; 高氯性代謝性酸中毒; |
語文 | 中文(Chinese) |
中文摘要 | 早產兒出生後,若營養補充不足將致生長遲滯,故治療原則為出生後儘早提供足 夠營養。新生兒於出生後三天對鈉離子、氯離子需求量漸增,且骨骼正值發育階段, 對鈣離子的需求也相對增加,故補足所需電解質及維持電解質平衡相對重要。然而, 早產兒極易併發壞死性腸炎,此時僅能透過全靜脈營養 (Total parenteral Nutrition, TPN) 維持生長發育所需,但在給予全靜脈營養的過程中若攝取過多氯離子再加上病兆影 響,易致高氯性代謝性酸中毒,因此在除了校正代謝性酸中毒方面可以調整全靜脈營 養電解質成分給予,如給予取代氯化鉀、氯化鈉之磷酸鉀、磷酸鈉等方式,不僅解決 氯離子補充過剩之問題外;磷酸鹽也能幫助骨骼之生長。 |
英文摘要 | It is vital important to feed an adequate and enough nutrition support for preterm neonates as soon as possible for fear of the hindrance of growth. Besides, the need of Na+ and Cl- increase after the birth of three days and the allowance of Ca2+ increases to construct the bone. Therefore, it is necessary to deal with the balance of electrolyte. However, preterm neonates easily combine necrotizing enterocolitis, the only way to support nutrition is the total parenteral nutrition. The effect of disease and the oversupply of chloride induce the hyperchloremic metabolic acidosis. Consequently, we modify the electrolyte of TPN including replacing the sodium chloride and potassium chloride with sodium phosphate and potassium phosphate which not only resolves the oversupply of chloride but also increases the phosphate with help of preterm neonates’ growth of bone. |
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