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表 1 患者血清磷、镁、钾、钙在再喂养期间变化
指标
(mmol/L)再喂
养前再喂养后天数(d) 1 3 5 7 9 11 磷 1.42 0.40 0.42 0.54 0.62 0.76 0.97 镁* 未查 未查 未查 未查 0.77 未查 未查 钾 4.2 4.1 3.3 3.8 4.2 4.0 4.3 钙 2.2 1.86 1.85 1.87 2.01 2.08 2.17 *表中血清镁离子只检查过一次,是因当时未考虑“再喂养综合征”这一诊断; 后经上级医生指示,查血清镁,再结合患者症状,方明确该诊断 -
[1] Solomon SM, Kirby DF. The refeeding syndrome:a review[J]. J Parenter Entaral Nutr, 1990, 14:90-97. https://pubmed.ncbi.nlm.nih.gov/2109122/ [2] Crook MA, Hally V, Panteli JV. The importantanc of refeeding syndrome[J]. Nutrition, 2001, 17:632-637. [3] 石汉平, 孙冠青.重视再喂养综合征的诊断与治疗[J].新医学, 2009, 40:631-633. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=xyx200910001 [4] 张艳杰, 余震, 姚建高, 等. ICU患者营养支持治疗时再喂养综合征的发生及防治[J].浙江医学, 2013, 35:657-660. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=zjyx201308016 [5] 范朝刚, 任建安, 黎介寿.消化道瘘病人的再喂养综合征[J].中国实用外科杂志, 2003, 23:677-679. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=zgsywkzz200311017 [6] Havala T, Shronts E. Managing the complications associated with refeeding[J]. Nutr Clin Pract, 1990, 5:23-29. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=10.1177/011542659000500123 [7] Rosen GH, Boullata JI, O'Rengers EA, et al. Intravenous phosphate repletion regimen for critically ill patients with moderate hypophosphatemia[J]. Crit Care Med, 1995, 23:1204-1210. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=WK_LWW201705250253144 [8] 费旭峰.再喂养综合征[J].外科理论与实践, 2006, 11:179-180. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=wkllysj200602031 [9] Amanzadeh J, Reilly RF Jr. Hypophosphatemia:an evidence-based approach to its clinical consequences and management[J].Nat Clin Praet Nephrol, 2006, 2:136-148. [10] Mallet M. Refeeding syndrome[J]. Age Ageing, 2002, 31:65-66. [11] Marik PE, Bedigian MK. Refeeding hypophosphatemia in critically ill patients in an intensive care unit[J]. Arch Surg, 1996, 131:1043-1047. [12] Faintuch J, Soriano FG, Ladeira JP, et al. Refeeding procedures after 43 days of total fasting[J]. Nutrition, 2001, 17:100-104. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=34b53ae8404f0ac1f761c7b646ce2259
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