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目的通过1例妊娠剧吐肠外营养支持的典型病例,探讨妊娠剧吐病例中如何合理地给予肠外营养支持。方法临床药师参与肠外营养组方的设计和调整、营养制剂的选择、全营养混合液的标准配制,同时监测实验室指标,观察临床疗效。根据治疗结果并结合文献资料探讨妊娠剧吐肠外营养的指征,组方设计及并发症的防治。结果与结论妊娠剧吐患者发生营养不良时需及时给予营养支持。营养组方的设计和营养底物的选择需同时考虑母体和胎儿的安全,按需补充能量、蛋白质以及妊娠期特殊营养素。妊娠期肠外营养脓毒血症发生率高,妊娠剧吐时肠外营养可发生再喂养综合征,需注意对这些并发症的防治。
Objective To discuss the case of pubertal hyperemesis with parenteral nutrition support in a typical case of parenteral nutrition support for pregnancy induced hyperemesis. Methods The clinical pharmacists involved in the design and adjustment of the parenteral nutrition group, the selection of nutritional agents, the standard preparation of the whole nutrient mixture, and the monitoring of laboratory indicators to observe the clinical efficacy. According to the results of treatment and literature review of parenteral nutrition indications, prescription design and prevention and treatment of complications. Results and Conclusions Patients with hyperemesis gravidarum need timely nutrition support when malnutrition occurs. Nutritional group design and nutrition substrate selection should take into account both the mother and fetus safety, on-demand energy, protein and special nutrients during pregnancy. Parenteral nutrition during pregnancy, high incidence of sepsis, ptenous hyperemesis pregnancy re-feeding syndrome can occur, pay attention to the prevention and treatment of these complications.