摘要
观察了１６例术后住ＩＣＵ禁食行全胃肠外营养（ＴＰＮ）的患者使用脂肪乳剂（Ｉｎｔｒａｌｉｐｉｄ）期间的血磷值，其中１１例（占６９％）的血磷在使用Ｉｎｔｒａｌｉｐｉｄ后于正常值范围内明显升高，经显著性配对ｔ检验，ｔ＝２．９７，Ｐ＜０．０１，使用Ｉｎｔｒａｌｉｐｉｄ前后的血磷值变化有非常显著的意义。认为每天静脉输注１０％或２０％的Ｉｎｔｒａｌｉｐｉｄ５００ｍｌ，其中含有磷７．５ｍｍｏｌ，刚能满足禁食患者每天对磷的基本需求；对中度以上应激者，此供应量已不能满足此时人体对磷的需求，这是本组另５例（占３１％）患者血磷不升高的原因。作者认为Ｉｎｔｒａｌｉｐｉｄ能部分或完全满足术后禁食患者对磷的需求，使用专用磷制剂补磷时应注意脂肪乳剂中所含的磷。
We investigated the effect of intravenous Intralipid infusion on the serum phosphorus concentration in the 16 ICU postoperative patients 500ml of 10% Intralipid was given to each patient daily The result showed that serum phosphorus concentration was significantly increassed in 11 of the 16 patients after intravenous infusion of Intralipid compared with it's baseline value ( P <0 01) It is suggested that Intralipid infusion can increase or maintain,in part,the serum phosphorus concentration for the moderate or severe stress response patients
出处
《中国危重病急救医学》
CAS
CSCD
1996年第3期152-153,共2页
Chinese Critical Care Medicine
关键词
全胃肠外营养
脂肪乳剂
低磷血症
total parenteral nutrition
fat emulsion
hypophosphatemia
