Thirty-one neonates that underwent abdominal operation received TPN via peripheral vein in perioperative period between Jan. 1991 and Feb. 1992.The formula included amino acid 0.96±0.15g/kg/d, fat emulsion 1.40±0.24g/kg/d and glucose 10.2±2.25g/kg/d. TPN was given for over 5 days and the longest 16 days. Twenty-seven cases recovered, 18 gained weight, 3 improved and one died of incision infection and septicemia. One premature infant had jaundice due to increased direct bilirubin on the 8th day after surgery. A postoperative nutritional support program consisting of a TPN in the first days, partial parenteral nutrition in the following days and the final total enteral nutrition may be beneficial to recovery of the surgical neonates.%对31例腹部手术新生儿在围手术期间应用胃肠外营养支持.所有病例均采用周围静脉途径.应用TPN均在5天以上,最长16天.痊愈27例,好转3例,死亡1例.1例早产儿出现血直接胆红素升高.提出把术后营养支持分为三个阶段,从全静脉营养过渡到部分静脉营养加胃肠营养,最后达到全胃肠营养,是一个合理而有效的静脉营养治疗方案.
展开▼
