[再养综合征] 这是什么?
Mariela Plenc Ziegler1, Wedali Jimaja1, Marine Monney2
1Unité de nutrition clinique, Service de gastroentérologie et hépatologie, Hôpitaux universitaires de Genève, 1211 Genève 14.
Revue medicale suisse
|September 10, 2025
概括
重新养综合征 (RFS) 是营养不良患者的一种可能致命的疾病,当营养重新引入时会出现. 早期识别和管理,包括电解质监测和胺补充,对于预防和患者的生存至关重要.
科学领域:
- 临床营养学 临床营养学
- 代谢障碍 代谢障碍 代谢障碍
- 患者安全 患者安全
背景情况:
- 再养综合征 (RFS) 是一种被诊断不足,可能致命的疾病.
- 它发生在营养不良患者在重新引入营养时.
- RFS是代谢转移导致电解质干扰和维生素缺乏的结果.
研究的目的:
- 突出再综合征的风险和特征.
- 强调早期诊断和管理的重要性.
- 概述重新养综合征的预防策略.
主要方法:
- 对RFS临床表现和代谢转变的审查.
- 确定风险患者群体.
- 预防措施的描述,包括电解质监测和胺补充剂.
主要成果:
- RFS的特点是电解质失衡和维生素缺乏.
- 临床并发症可能是严重的,如果不及时管理.
- 通过仔细的营养支持启动,可以实现预防.
结论:
- 重新养综合征是可以预防的,需要谨慎管理.
- 监测电解质和提供硫胺是预防的关键步骤.
- 对风险患者来说,谨慎和渐进的营养支持至关重要.
相关概念视频
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
858
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
858
Nephrotic Syndrome I : Introduction
510
Nephrotic Syndrome is a chronic kidney disorder defined by clinical findings such as severe proteinuria, hypoalbuminemia, hyperlipidemia, and edema. These symptoms result from damage to the glomeruli, the kidney’s filtering units, increasing their permeability to proteins.Definition and Meaning:Proteinuria, defined as the loss of more than 3.5 grams of protein per day in adults, is a crucial feature of nephrotic syndrome. This condition is often accompanied by edema, the accumulation of...
510
Enteral Nutrition I: Orogastric and Nasogastric Feeding
1.3K
Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
1.3K
Nephrotic Syndrome III : Nursing Management
283
Nursing management for nephrotic syndrome adapts as the disease progresses, with strategies evolving to address advancing symptoms and complications.Early-Stage Management In the early stages, nursing interventions for nephrotic syndrome resemble those used in managing acute glomerulonephritis, focusing on symptom monitoring, fluid balance, and managing mild to moderate edema.Vital Signs: Regularly monitor blood pressure, pulse, respiratory rate, and temperature to promptly identify...
283
SBAR II: Application of SBAR
5.7K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
5.7K
Heart Failure VI: Adjunct Therapies
263
Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
263


