protein-energy malnutrition22蛋白质能量营养不良.pptx

PROTEIN-ENERGYMALNUTRITION(PEM);Purposeandrequirement;;;Reasonablefeeding,toadvocatebreastfeeding

Reasonableregime

Preventandtreatdiseases,correctdeformity

Monitorthegrowthanddevelopment

;;各系统功能低下

消化系统食欲不振(Anorexia),腹泻(diarrhea)

循环系统血压下降、脉搏细弱、肢凉

泌尿系统多尿、低比重尿

神经系统表情淡漠、智力低下、学习困难

免疫功能易感染

;Marasmus:totalcaloriedeficiency

Edema:proteindeficiency

Marasmus－edema

;manifestations;临床分度(消瘦型）;临床分度(消瘦型）;Nutritionalmicrocyticanemia

Allkindsofvitaminsdeficiency

Infections

Spontaneoushypoglycemia;;Ages：Itusuallyaffectstheinfantunder

threeyearsoldofage

History:Feedinghistoryandahistoryof

infectionandsystemicdisease

Clinicalmanifestations:lossofweight,

decreaseanddisappearanceofsubcutaneousfat

Assistantexamination：IGF-1，Prealbumin;Excludingcauses

Adjustingdiets

caloriesmild：60－80kcal/kg.d

mid-severe：40－55kcal/kg.d

protein1.5－2.0g/Kg.d

multiplevitaminsandmineralssupplying;Facilitatingdigestion

Thetherapyofcomplications

Intensivecare

;