Crystal formation: a new complication of total parenteral nutrition.
Crystal formation: a new complication of total parenteral nutrition.
复制标题
晶体形成：全肠外营养的新并发症。
作者：
H. Pomerance;R. Rader
自1971年以来，查尔斯顿地区医疗中心的新生儿重症监护病房(NICU)在全肠外营养(TPN)方面积累了丰富的经验。在这一过程中遇到了一个新的技术复杂性，现报告如下。本函件的目的不是重复TPN的背景，1或详细说明所涉案件的历史。
最初，像其他人一样，我们使用了含有酪蛋白水解物(5%Amigen和5%Dextrose注射剂*)、额外的葡萄糖和包括葡萄糖酸钙在内的矿物质的混合物。1972年5月，我们改变了我们的配方，加入了一种纤维蛋白水解物(D5W†中5%的氨基溶胶)。同时，通过将氯化钾改为酸性磷酸二氢钾来添加磷酸根离子(表I)。
Since 1971, the Newborn Intensive Care Unit (NICU) of the Charleston Area Medical Center has developed considerable experience with Total Parenteral Nutrition (TPN). A new technical complication of this procedure has been encountered and is reported herewith. It is not the purpose of this communication to repeat the background of TPN,1 or to detail the case histories involved.
Initially, like others, we used a mixture containing a casein hydrolysate (5% Amigen and 5% Dextrose Injection*), additional glucose, and minerals including calcium gluconate. In May 1972 we changed our formula to include a fibrin hydrolysate (Aminosol 5% in D5W†). At the same time, we added phosphate ion by changing from potassium chloride to potassium acid phosphate (Table I) .