5例恶性肿瘤合并再喂养综合征患者的特点分析

Analysis of 5 Cases of Malignant Tumor Complicated with Refeeding Syndrome

目的探讨恶性肿瘤患者合并再喂养综合征的临床特点。方法通过对5例恶性肿瘤合并再喂养综合征的患者进行病情及营养风险评估,监测电解质、生化指标的变化,根据结果补充维生素B1和电解质,制订个性化的营养支持治疗方案,循序渐进地增加喂养量。结果患者住院时间15~48 d,中位住院时间32 d;疾病好转4例,自动出院1例;压疮治愈2例。结论对恶性肿瘤患者实施营养支持治疗前需严格进行病情及营养风险评估,及早发现,及时治疗,降低患者的未愈率及病死率,改善预后。

Objective To explore the clinical characteristics of patients with malignant tumor complicated with refeeding syndrome.Methods Through the condition and nutritional risk assessment of 5 patients with malignant tumor complicated with refeeding syndrome,monitoring electrolyte and biochemistry,supplementing vitamin B1 and electrolyte according to the results,formulating personalized nutritional support treatment plan,and gradually increasing the amount of feeding.Results The hospitalization time of patients is 15-48 days,with a median of 32 days;4 cases got better and 1 case was discharged automatically;2 cases of pressure ulcer were cured.Conclusions For patients with malignant tumors,strict condition and nutritional risk assessment before nutritional support treatment,early detection and timely treatment,reduce the non-healing rate and mortality,and improve the prognosis.