Role of nutritional support in the treatment of infants with primary chylous reflux obstacle

Q4 Nursing 中华临床营养杂志 Pub Date : 2018-06-30 DOI:10.3760/CMA.J.ISSN.1674-635X.2018.03.008

L. Suyun, He Yuan, Liu Xiaoqian, Ji Linlin, Chunxia Chen, Li Qianyu

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Abstract

Objective To evaluate the effectiveness of nutritional support in the treatment of primary chylous reflux obstacle caused by primary lymphatic dysplasia among infants and investigate the effects of the essential components of therapeutic formula milk in treating this disease. Methods Seven infants, who were diagnosed at Beijing Shijitan Hospital between 2012 and 2014 with primary chylous reflux obstacle and aged (8.9±4.6) months at the onset, were retrospectively analyzed to evaluate effectiveness of the nutrition support and prognosis of the disease. Results After personalized enteral nutrition support(using proteins, short peptides and medium-chain triglyceride) of (8.3±2.8) months, heights and weights of all the seven infants were kept between the 3rd and 97th percentile lines, and the growth curve showed onward and upward trend. Their plasma albumin levels reached (43.7±4.4)g/L. The infants defecated 1-2 times a day and the texture of feces was formed and soft with yellow color. Conclusion Clinical symptoms and physical signs of the seven infants were improved after nutrition support, which contributed to the recovery. Key words: Primary lymphatic dysplasia; Disorders of the circulation of chyle; Chylothorax; Chylous ascitis; Nutritional support

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营养支持在婴儿原发性乳糜反流障碍治疗中的作用

目的评价营养支持治疗婴幼儿原发性淋巴发育不良所致乳糜反流障碍的疗效，探讨治疗性配方奶必需成分对该病的治疗作用。方法回顾性分析2012 - 2014年在北京世纪坛医院诊断为原发性乳糜反流障碍的7例患儿，发病年龄为(8.9±4.6)个月，评价营养支持的效果及预后。结果7例婴儿在(8.3±2.8)个月个体化肠内营养支持(蛋白质、短肽和中链甘油三酯)后，身高、体重均保持在第3 ~ 97百分位之间，生长曲线呈上升趋势。血浆白蛋白水平达到(43.7±4.4)g/L。婴儿每天排便1-2次，粪便质地形成，质地柔软，呈黄色。结论7例患儿经营养支持后，临床症状和体征得到改善，有利于康复。关键词:原发性淋巴发育不良;乳糜泻乳糜循环紊乱;乳糜胸;乳糜性ascitis;营养支持

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来源期刊

中华临床营养杂志 Nursing-Nutrition and Dietetics

CiteScore

0.20

自引率

0.00%

发文量

2282

期刊介绍： The Chinese Journal of Clinical Nutrition was founded in 1993. It is the first professional academic journal (bimonthly) in my country co-sponsored by the Chinese Medical Association and the Chinese Academy of Medical Sciences to disseminate information on clinical nutrition support, nutrient metabolism, the impact of nutrition support on outcomes and "cost-effectiveness", as well as translational medicine and nutrition research. It is also a professional journal of the Chinese Medical Association's Parenteral and Enteral Nutrition Branch. The purpose of the Chinese Journal of Clinical Nutrition is to promote the rapid dissemination of knowledge on nutrient metabolism and the rational application of parenteral and enteral nutrition, focusing on the combination of multidisciplinary and multi-regional field investigations and clinical research. It mainly reports on nutritional risk screening related to the indications of parenteral and enteral nutrition support, "cost-effectiveness" research on nutritional drugs, consensus on clinical nutrition, guidelines, expert reviews, randomized controlled studies, cohort studies, glycoprotein and other nutrient metabolism research, systematic evaluation of clinical research, evidence-based case reports, special reviews, case reports and clinical experience exchanges, etc., and has a special column on new technologies related to the field of clinical nutrition and their clinical applications.