摘要
目的:探讨全胃肠外营养( T P N)支持对中大型手术后新生儿的影响。方法:自 1995~1998 年对 30例腹部中大型手术后新生儿采用 T P N 支持疗法,将全营养混合液( T N A)通过周围静脉24 h 均匀输入,应用时间 8~24 d。监测项目包括体重、血常规、尿常规、肝功能、血生化、氮平衡、神经精神发育。结果:痊愈 29 例,死亡 1 例。应用 T P A 支持后 1 周与应用前相比较,体重、神经精神发育检查评分、血淋巴细胞计数均明显增加( P< 001)。结论: T P N 能促进腹部中大型手术后新生儿生长发育特别是神经系统发育,提高手术成功率,减少并发症发生。
Objective:To investigate the influences of total parenteral nutrition(TPN) on the neonates after major operations.Methods:TPN support was applied in 30 neonates from 1995 to 1998.The total nutrient admixture (TNA) was given through peripheral vein in 24 hours.TPN period was 8 to 24 days.Monitering items included body weight,blood routine examination,urine routine examination,liver function test,blood biochemical analysis,nitrigen balance test,neuropsychic development examination.Results:Twenty nine patients recovered and one died.The body weight,nuropsychic development examination score and total lymphocyte count increased significantly ( P <0 01) in 7 days after the application of TPN.Conclusion:TPN can promote the development of body and nervous system in neonates after major operations in abdomen and increases the cure rate of operation and decreases complications.
出处
《滨州医学院学报》
1999年第5期440-442,共3页
Journal of Binzhou Medical University
关键词
新生儿
胃肠外营养
手术
newborn
parenteral nutrition
operation