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危重症患儿的早期肠内营养 被引量：4

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摘要 危重症患儿是一个特殊的群体,以多器官功能障碍或衰竭为主要临床特点.多器官功能障碍或衰竭是一个强烈的应激过程,伴随着一系列代谢变化,包括分解代谢激素（胰高血糖素、儿茶酚胺和肾上腺皮质激素）分泌增加、胰岛素抵抗以及细胞因子、氧自由基和其他局部炎症介质产生的增加等,导致静息状态下能量消耗过多,心输出量和二氧化碳排出增加,基础代谢率增加.一旦患儿无法自主进食,其机体组织必需消耗自身能量贮存以满足机体的生理需求[1].应激状态下脂肪的应用受限,肌肉和内脏储存的蛋白质被分解,且被作为能量来源而消耗,尿氮排出增加.
作者 张明军 朱晓东
机构地区 上海交通大学医学院附属新华医院儿内科
出处 《中国小儿急救医学》 CAS 2013年第6期655-658,共4页 Chinese Pediatric Emergency Medicine
关键词 危重症患儿 早期肠内营养 多器官功能障碍 肾上腺皮质激素 分解代谢 能量消耗 机体组织 尿氮排出
分类号 R720.597 [医药卫生—急诊医学]
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参考文献45

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  • 2ASPEN Board of Directors and the Clinical Guidelines Task Force. Guidelines for the use of parenteral and enteral nutritionin adult and pediatric patients. JPEN J Parenter Enteral Nutr, 2002,26( 1 Suppl) : 1SA-138SA.
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二级参考文献120

共引文献527

同被引文献64

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中国小儿急救医学
2013年 第6期

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