儿童多器官功能障碍综合征营养支持治疗

Nutrition support therapy for children with multiple organ dysfunction syndrome

多器官功能障碍综合征(multiple organ dysfunction syndrome,MODS)是儿科常见的危重症之一。由于MODS的代谢特点:一方面是机体处在代谢紊乱及营养素利用障碍状态,急需给予补充营养物质;另一方面由于器官功能障碍不能有效地利用营养物质及排出代谢产物,因此,在救治MODS患者过程中给予合理的营养支持治疗显得尤为重要。了解MODS患儿的代谢特点,运用营养筛查工具、评估营养状况,根据实测能量消耗情况,制定合理的营养支持方案,对救治MODS患儿有重要意义。

Multiple organ dysfunction syndrome is one of the common pediatric critical illnesses. Due to the metabolic characteristics of MODS：the body which is in metabolic disorders and nutrients utilization disorders needs timely nutritional supplement,and the body cannot effectively use nutrients and excrete metabolites due to organ dysfunction,it is particularly important to provide reasonable nutritional support treatment to patients with MODS. Knowing about the characteristics of metabolism in patients with MODS,using nutrition screening tools to assess nutrition status,and according to the measured energy consumption,developing a reasonable nutrition support scheme are very meaningful to children with MODS.