全胃肠外营养在新生儿消化道畸形中的应用

Total parcnteral nutrition in surgical neonates with gastrointestinal anomalies

18例新生儿消化道畸形患儿经周围静脉接受TPN,常规监测血生化及肝肾功能,收集24h尿液测定氮平衡,同时测定胰岛素、肌红蛋白及CPK。结果表明,经周围静脉输注TPN安全、实用,溶液中可适当提高氨基酸浓度,以达到代谢支持的目的,系列测定CPK可作为短期TPN监测的指标。

Total parenteral nutrition via peripheral vei was given to eighteen neonatal surgical patients with gastrointestinal anomalies. Regular measuremnts including body weight, biochemical monitoring and nitrogen blance were taken. The serum insulin, myoglobin and CPK were also mesured. The result showed that total nutrient admixture (TNA) was safe and practical in neonates. A higher proportion of amino acid may be given in order to achieve metabolic support. Serial measurement of serum CPK may serve as an index to monitor short-term responce to TPN.