早产儿肠外营养：2025年的益处和风险

IF 2.9 3区医学 Q1 PEDIATRICS

Seminars in Fetal & Neonatal Medicine Pub Date : 2025-04-09 DOI:10.1016/j.siny.2025.101635

Nicholas D Embleton, Chris H P van den Akker, Mark Johnson

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引用次数: 0

摘要

自20世纪80年代以来，肠外营养（PN）一直是早产儿新生儿护理的关键组成部分，它提供了促进生长的大量营养素，以及电解质、矿物质、维生素和微量元素。在这篇文章中，我们考虑了常规提供给非常早产儿的常见问题，包括营养需求的估计，PN的最佳起始剂量，增加率和最大摄入量。我们考虑监测策略并概述可能严重和致命的常见并发症。最后，我们考虑了不同早产儿人群的风险收益比，并概述了当前实践中的一些主要不确定性。

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Parenteral nutrition for preterm infants: benefits and risks in 2025.

Parenteral nutrition (PN) has been a key component of neonatal care for preterm infants since the 1980's and provides macronutrients for growth, along with electrolytes, minerals, vitamins and trace elements. In this article we consider common issues with routine provision to very preterm infants including estimation of nutrient requirements, optimal starting doses of PN, rates of increase and maximum intakes. We consider monitoring strategies and outline common complications which may be serious and fatal. Finally, we consider risk-benefit ratios in different populations of preterm infants, and outline some of the major uncertainties in current practice.

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来源期刊

Seminars in Fetal & Neonatal Medicine 医学-小儿科

CiteScore

6.40

自引率

3.30%

发文量

审稿时长

6-12 weeks

期刊介绍： Seminars in Fetal & Neonatal Medicine (formerly Seminars in Neonatology) is a bi-monthly journal which publishes topic-based issues, including current ''Hot Topics'' on the latest advances in fetal and neonatal medicine. The Journal is of interest to obstetricians and maternal-fetal medicine specialists. The Journal commissions review-based content covering current clinical opinion on the care and treatment of the pregnant patient and the neonate and draws on the necessary specialist knowledge, including that of the pediatric pulmonologist, the pediatric infectious disease specialist, the surgeon, as well as the general pediatrician and obstetrician. Each topic-based issue is edited by an authority in their field and contains 8-10 articles. Seminars in Fetal & Neonatal Medicine provides: • Coverage of major developments in neonatal care; • Value to practising neonatologists, consultant and trainee pediatricians, obstetricians, midwives and fetal medicine specialists wishing to extend their knowledge in this field; • Up-to-date information in an attractive and relevant format.