Nutritional requirements for infants with renal failure.
Nutritional requirements for infants with renal failure.
复制标题
肾功能衰竭婴儿的营养需求。
DOI：
10.1016/s0272-6386(86)80071-3
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发表时间：
1986
期刊：
影响因子：
--
通讯作者：
Salusky,IB
中科院分区：
文献类型：
--
作者：
Wassner,SJ;Abitbol,C;Alexander,S;Conley,S;Grupe,WE;Holliday,MA;Rigden,S;Salusky,IB
慢性肾功能衰竭(CRF)婴儿的护理是儿科医生和儿科肾科医生特别关注的领域。正常情况下，生长速度在生命的前两年最高。身长增加50%，体重翻两番，在大脑发育的影响下，头围增加40%。研究一再表明，当肾功能损害发生在出生时或出生后不久，生长和发育都会受到严重影响。对于这些儿童中的大多数来说，同样重要的是，在这一关键时期失去的生长不会恢复。“在过去，这些观察只是学术上的兴趣，因为没有有效的治疗方法。大多数儿科中心报告了体重10公斤以下儿童肾移植的糟糕结果；除了少数例外，”慢性血液透析不适用于婴儿。在这种情况下，由于厌食症和对食物摄入量增加的担忧导致尿毒症症状的恶化，生长进一步受到影响。几个中心开始对儿童进行这种形式的治疗。S的？CAPD和一种相关的透析形式--持续循环腹膜透析(CCPD)已经被使用。结果是相似的，在本报告中它们将统称为连续
THE CARE of infants with chronic renal failure (CRF) is an area of special concern for pediatricians and pediatric nephrologists. Normally, growth rates are highest during the first 2 years of life. Length increases by 50%, weight is quadrupled, and under the influence of brain growth, head circumference increases by 40%. Studies have repeatedly shown that when impairment of renal function occurs either at, or shortly after birth, growth and development are profoundly affected. I3 Of equal importance for the majority of these children, growth lost during this critical period is not regained." In the past, these observations were of only academic interest, since no effective therapy was available. Most pediatric centers reported poor results with renal transplantation in children under 10 kg in body weight>; with few exceptions," chronic hemodialysis was not performed in infants. In this setting, growth was further compromised due to a combination of anorexia coupled with concerns about increased food intake leading to an exacerbation of uremic symptoms.Shortly after continuous ambulatory peritoneal dialysis (CAPD) was described by Popovich et al,? several centers began this form of treatment in children. s'? CAPD and a related form of dialysis, continuous cyclic peritoneal dialysis (CCPD) have been used. Results are similar and in this report they will be collectively referred to as continuous