复方氨基酸注射液是肠外营养中氮的来源,广泛应用于不能经胃肠道给予或经胃肠道给予不能满足其营养需求的患者,在营养治疗中起重要作用。但目前对于复方氨基酸注射液临床应用的指征、剂型、剂量、时机,国内并无系统的指南或共识。为了...复方氨基酸注射液是肠外营养中氮的来源,广泛应用于不能经胃肠道给予或经胃肠道给予不能满足其营养需求的患者,在营养治疗中起重要作用。但目前对于复方氨基酸注射液临床应用的指征、剂型、剂量、时机,国内并无系统的指南或共识。为了进一步规范复方氨基酸注射液的临床应用,中华医学会肠外肠内营养学分会(Chinese Society for Parenteral and Enteral Nutrition,CSPEN)及中国抗癌协会肿瘤营养专业委员会(Chinese Society of Nutritional Oncology,CSNO)组织全国专家,在系统性文献检索的基础上,参考美国肠外肠内营养学会(American Society for Parenteral and Enteral Nutrition,ASPEN)、欧洲临床营养和代谢学会(European Society for Clinical Nutrition and Metabolism,ESPEN)、CSPEN及CSNO指南,结合我国临床实践,经多次交流讨论,达成此共识。包括10条推荐意见,涉及不同患者的蛋白质需要量及氨基酸剂型选择。展开更多
An l l-years-old boy presented with 7 days history of abdominal pain, precordial pain and intermittenthematemesis. The physical examination revealed appearance of anemia, precordial tenderness without other positive f...An l l-years-old boy presented with 7 days history of abdominal pain, precordial pain and intermittenthematemesis. The physical examination revealed appearance of anemia, precordial tenderness without other positive findings. Routine blood test was notable for Hb 60 g/L. Contrast CT scan of the chest revealed a soft tissue dense mass close to the descending aorta （Figure 1 A and B）. The mass and the adjacent artery were luminally connected and intensified substantially at the same time and to the same degree on the radiographic studies. The wall of the mass was slightly thickened and the inner surface of the wall was not smooth. The esophagus was deviated and became narrow due to compression （Figure 1 A）. Axial maximum intensity projection （MIP） showed a linear metallic foreign body （Figure I C） and local airway moved forward and became flat. Volume rendering （VR） confirmed a right- side protruding mass adjacent to the beginning of the descending aorta （Figure 1 D）. The gastroscopy showed ulceration of the esophageal mucosa （Figure 1 E）.展开更多
文摘复方氨基酸注射液是肠外营养中氮的来源,广泛应用于不能经胃肠道给予或经胃肠道给予不能满足其营养需求的患者,在营养治疗中起重要作用。但目前对于复方氨基酸注射液临床应用的指征、剂型、剂量、时机,国内并无系统的指南或共识。为了进一步规范复方氨基酸注射液的临床应用,中华医学会肠外肠内营养学分会(Chinese Society for Parenteral and Enteral Nutrition,CSPEN)及中国抗癌协会肿瘤营养专业委员会(Chinese Society of Nutritional Oncology,CSNO)组织全国专家,在系统性文献检索的基础上,参考美国肠外肠内营养学会(American Society for Parenteral and Enteral Nutrition,ASPEN)、欧洲临床营养和代谢学会(European Society for Clinical Nutrition and Metabolism,ESPEN)、CSPEN及CSNO指南,结合我国临床实践,经多次交流讨论,达成此共识。包括10条推荐意见,涉及不同患者的蛋白质需要量及氨基酸剂型选择。
文摘An l l-years-old boy presented with 7 days history of abdominal pain, precordial pain and intermittenthematemesis. The physical examination revealed appearance of anemia, precordial tenderness without other positive findings. Routine blood test was notable for Hb 60 g/L. Contrast CT scan of the chest revealed a soft tissue dense mass close to the descending aorta （Figure 1 A and B）. The mass and the adjacent artery were luminally connected and intensified substantially at the same time and to the same degree on the radiographic studies. The wall of the mass was slightly thickened and the inner surface of the wall was not smooth. The esophagus was deviated and became narrow due to compression （Figure 1 A）. Axial maximum intensity projection （MIP） showed a linear metallic foreign body （Figure I C） and local airway moved forward and became flat. Volume rendering （VR） confirmed a right- side protruding mass adjacent to the beginning of the descending aorta （Figure 1 D）. The gastroscopy showed ulceration of the esophageal mucosa （Figure 1 E）.
