1例先天性簇绒肠病患儿的营养管理

doi:10.3761/j.issn.0254-1769.2022.12.016

中华护理杂志 ›› 2022, Vol. 57 ›› Issue (12): 1512-1515.DOI: 10.3761/j.issn.0254-1769.2022.12.016

1例先天性簇绒肠病患儿的营养管理

陈晓飞(), 陈朔晖(), 李美, 沈倩倩, 范美花

310052 杭州市国家儿童健康与疾病临床医学研究中心/浙江大学医学院附属儿童医院消化内科（陈晓飞,李美,沈倩倩,范美花）,医院感染管理科（陈朔晖）

收稿日期:2021-11-03 出版日期:2022-06-20 发布日期:2022-06-13
通讯作者: 陈朔晖,E-mail： chcsh2@zju.edu.cn
作者简介:陈晓飞：女,硕士,副主任护师,护士长,E-mail： hzxiao0914@163.com
基金资助:
浙江省医药卫生科技计划面上项目(2020KY170)

Nutritional support management of a child with congenital tufting enteropathy

CHEN Xiaofei(), CHEN Shuohui(), LI Mei, SHEN Qianqian, FAN Meihua

Received:2021-11-03 Online:2022-06-20 Published:2022-06-13

摘要/Abstract

摘要：

先天性簇绒肠病属于罕见疾病,疾病早期患儿常因顽固性腹泻危及生命,营养管理是其护理难点。该文总结l例先天性簇绒肠病患儿营养管理经验。护理要点：开展营养筛查及评估,为制订个性化营养支持方案提供依据;尽早开展肠外营养支持,追赶体重增长,维持水、电解质平衡;及时给予肠内营养支持,改善患儿营养状况;预防并及时干预常见并发症。经过60 d积极治疗与精心护理,患儿病情得到控制,身高、体重稳步增长。

关键词: 先天性簇绒肠病, 营养不良, 营养支持, 儿科护理学

Abstract:

Congenital tufting enteropathy is rare to see in clinic,and it could be life-threatening due to intractable diarrhea in the early stage. The nutrition management was the most important and difficult part of nursing care. This study aimed to summarize the nutritional support experience of a case with congenital tufting enteropathy. In this case,we provide the personalized nutrition support based on nutrition screening and evaluation,and carry out parenteral nutrition support as soon as possible to help the child get fully potential of growth,as well as to get the metabolism balance. Besides,the timely enteral nutrition support was also used to improve the nutritional status of the child. Prevention and timely intervention for common complications were used to achieve clinical benefits. After a 60-day nursing care,the child’s condition was well-controlled with steady increasing in height and weight.

Key words: Congenital Tufting Enteropathy, Malnutrition, Nutritional Support, Pediatric Nursing

陈晓飞, 陈朔晖, 李美, 沈倩倩, 范美花. 1例先天性簇绒肠病患儿的营养管理[J]. 中华护理杂志, 2022, 57(12): 1512-1515.

CHEN Xiaofei, CHEN Shuohui, LI Mei, SHEN Qianqian, FAN Meihua. Nutritional support management of a child with congenital tufting enteropathy[J]. Chinese Journal of Nursing, 2022, 57(12): 1512-1515.

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1例先天性簇绒肠病患儿的营养管理

Nutritional support management of a child with congenital tufting enteropathy

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