【摘要】：目的:探討癌癥晚期病人腸外營養(yǎng)(PN)再喂養(yǎng)綜合征的預(yù)防方法。方法:選擇癌癥晚期病人86例,NRS 2002營養(yǎng)不良風(fēng)險篩查評分≥3分,根據(jù)生化監(jiān)測結(jié)果靜脈給予電解質(zhì)、肌內(nèi)注射維生素B1和按階梯行PN和液體入量。結(jié)果:血清磷、鉀、鎂第3天最低,與再喂養(yǎng)第1和第8天比均有顯著性差異(P0.05),第8天有90%的病人恢復(fù)至正常值范圍。再喂養(yǎng)綜合征患病率為8.14%。結(jié)論:癌癥晚期不能進(jìn)食病人補(bǔ)充足夠的維生素B1和電解質(zhì),同時行階梯PN支持,可降低再喂養(yǎng)綜合征的發(fā)生率。
[Abstract]:Objective: to investigate the prevention of (PN) refeeding syndrome in patients with advanced cancer. Methods: 86 patients with advanced cancer were selected with NRS 2002 malnutrition risk screening score 鈮，

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