儿科患者的脂肪过载综合征:一个病例和十个风险人群
Puthita Saengpanit1, Phakwan Laohathai1, Supawan Kunnangja1
1Division of Nutrition, Department of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Asia Pacific journal of clinical nutrition
|January 21, 2026
概括
脂肪过载综合征,一种罕见的并发症静脉脂肪乳液在亲肠道营养,需要及时识别和干预. 仔细管理和监测儿科患者对于预防复发和改善结果至关重要.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 临床营养学 临床营养学
- 患者的安全性 患者安全性
背景情况:
- 脂肪过载综合征是一种罕见但严重的并发症,用于亲肠营养的静脉输液脂类乳液.
- 对儿科患者来说,迅速识别病因,识别症状,监测并发症和管理至关重要.
研究的目的:
- 审查儿科患者脂肪过载综合征的病因,并发症,管理和结果.
- 确定预防脂肪过载综合征复发的风险因素和策略.
主要方法:
- 一个回顾性图表审查的11名儿科患者,他们接受了脂质乳液在过度输液速度超过五年.
- 收集的数据包括患者人口统计,脂质乳液细节,临床表现,实验室结果,管理和结果.
主要成果:
- 包括11名儿科患者 (9个月至15岁). 原因包括输液编程不正确和无意中切换溶液.
- 一名患者患有脂肪过载综合征,伴有寡尿症和代谢性酸性疾病. 治疗包括停止脂质乳液和支持性护理.
- 大多数患者没有并发症;四人需要额外的支持性干预.
结论:
- 脂肪过载综合征虽然不常见,但需要在接受肠道营养的儿科患者中迅速识别和干预.
- 仔细地注射肠道脂质和对有风险的个体进行警监测至关重要.
- 根源原因分析对于预防未来事件和提高患者安全至关重要.
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