摘要
肝功能衰竭患儿营养障碍原因包括营养摄入、吸收不良和代谢改变等，常导致预后不良。临床上宜根据肝功能衰竭的原因与病情选择合适的营养支持途径，包括胃肠营养、胃肠外营养或混合营养。严重急性肝功能衰竭或合并肝昏迷的患儿尽可能在5—7d内开始胃肠营养，进行个体化的综合营养状况及能量代谢评估，按照代谢需求与代谢能力提供适当的能量和营养素，并及时地调整营养支持措施。
Malnutrition occurs as a result of inadequate nutrient intake, malabsorption and altered metabolism in pediatric liver failure. Malnutrition may be associated with a poor outcome. The current evidence indicates that the provision of adjunctive nutritional support （ parenteral nutrition or enteral nutrition or nutritional supplements） to patients with a variety of liver diseases. It may be reasonable to start enteral nutrition in 5 to 7 days in acute liver failure or hepatic coma. According to individualized appropriate nutritional evaluation, the metabolic demand, to provide appropriate nutritional support in pediatric liver failure.
作者
张育才
熊熙
ZhangYucai Xiong Xi.(Department of Critical Care Medicine, Shanghai Children ~ Hospital, Shanghai Jiaotong University, Shanghai 200040, Chin)
出处
《中国小儿急救医学》
CAS
2017年第1期13-16,共4页
Chinese Pediatric Emergency Medicine
基金
上海市科委西医科技引导类项目（16411970300）
关键词
肝功能衰竭
营养不良
营养支持
儿童
Liver failure
Malnutrition
Nutritional support
Children
