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中华养生保健 ›› 2023, Vol. 41 ›› Issue (5): 181-184.

• 经验交流 • 上一篇    下一篇

5例恶性肿瘤合并再喂养综合征患者的特点分析

徐长荣, 金阿荣*, 李丽梅, 乔蓉, 徐慧霞   

  1. 内蒙古自治区人民医院血液科,内蒙古 呼和浩特,010010
  • 发布日期:2023-03-03
  • 通讯作者: *金阿荣,Email:jxf-003@163.com。
  • 作者简介:徐长荣(1982—),女,蒙古族,籍贯:内蒙古自治区兴安盟,硕士研究生,副主任医师,研究方向:血液病学。
  • 基金资助:
    内蒙古自治区自然科学基金项目(2019MS08080)

Analysis of 5 Cases of Malignant Tumor Complicated with Refeeding Syndrome

XU Chang-rong, JIN A-rong*, LI Li-mei, QIAO Rong, XU Huixia   

  1. Department of Hematology, People's Hospital of Inner Mongolia Autonomous Region, Hohhot Inner Mongolia, 010010, China
  • Published:2023-03-03

摘要: 目的 探讨恶性肿瘤患者合并再喂养综合征的临床特点。方法 通过对5例恶性肿瘤合并再喂养综合征的患者进行病情及营养风险评估,监测电解质、生化指标的变化,根据结果补充维生素B1和电解质,制订个性化的营养支持治疗方案,循序渐进地增加喂养量。结果 患者住院时间15~48 d,中位住院时间32 d;疾病好转4例,自动出院1例;压疮治愈2例。结论 对恶性肿瘤患者实施营养支持治疗前需严格进行病情及营养风险评估,及早发现,及时治疗,降低患者的未愈率及病死率,改善预后。

关键词: 恶性肿瘤, 再喂养综合征, 营养支持

Abstract: Objective To explore the clinical characteristics of patients with malignant tumor complicated with refeeding syndrome. Methods Through the condition and nutritional risk assessment of 5 patients with malignant tumor complicated with refeeding syndrome, monitoring electrolyte and biochemistry, supplementing vitamin B1 and electrolyte according to the results,formulating personalized nutritional support treatment plan, and gradually increasing the amount of feeding. Results The hospitalization time of patients is 15-48 days, with a median of 32 days; 4 cases got better and 1 case was discharged automatically; 2 cases of pressure ulcer were cured. Conclusions For patients with malignant tumors, strict condition and nutritional risk assessment before nutritional support treatment, early detection and timely treatment, reduce the non-healing rate and mortality, and improve the prognosis.

Key words: malignant tumor, refeeding syndrome, nutritional support

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