临床儿科杂志 ›› 2025, Vol. 43 ›› Issue (1): 56-60.doi: 10.12372/jcp.2025.24e0103

• 文献综述 • 上一篇    下一篇

高危新生儿早期肠外营养“再喂养综合征”临床防治进展

丁文雯, 朱凤, 骆余佳, 魏丽()   

  1. 浙江大学医学院附属邵逸夫医院新生儿科(浙江杭州 310000)
  • 收稿日期:2024-02-06 录用日期:2024-07-01 出版日期:2025-01-15 发布日期:2025-01-03
  • 通讯作者: 魏丽 电子信箱:5192011@zju.edu.cn

Clinical progress in prevention and treatment of early parenteral nutrition-related "refeeding syndrome" in high-risk newborns

DING Wenwen, ZHU Feng, LUO Yujia, WEI Li()   

  1. Neonatology Department, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310000, Zhejiang, China
  • Received:2024-02-06 Accepted:2024-07-01 Published:2025-01-15 Online:2025-01-03

摘要:

再喂养综合征是一种以电解质紊乱为特征的代谢异常状态,以低磷、低钾和低镁为主,临床表现呈现出非特异性及多样性的特点,原本常见于营养不良和重症的成人患者,目前在接受早期肠外营养治疗的高危新生儿中也有发现。本文就肠外营养相关新生儿再喂养综合征的生理机制、危险因素、临床特点、预防与治疗进行综述。

关键词: 再喂养综合征, 肠外营养, 新生儿

Abstract:

Refeeding syndrome is a metabolic disorder characterized by electrolyte disorder, mainly low phosphorus, low potassium and low magnesium, and its clinical manifestations are non-specific and diverse. It is common in malnourished and severe adult patients and is also found in high-risk newborns who receive early parenteral nutrition treatment. This article reviews the physiological mechanism, risk factors, clinical characteristics, prevention and treatment of parenteral nutrition-related neonatal refeeding syndrome.

Key words: refeeding syndrome, parenteral nutrition, newborn