- 期刊
急性呼吸衰竭個案營養照顧
Nutrition Care of Acute Respiratory Failure Case
摘要
急性呼吸衰竭（acute respiratory failure, ARF）為住院患者中常見的致命原因之一，它可能因許多原因引起，包含了心臟衰竭、肺炎及慢性阻塞性肺病。住院中的使用呼吸器的呼吸衰竭患者，常併有營養不良的問題，在營養不良的情況下，可能影響患者氣體交換能力、呼吸肌肉的強度等進而增加呼吸衰竭者脫離呼吸器的難度。此次針對因乙型流感併發ARF的患者，經3週給與高熱量（34 kcal/kg/day）及高蛋白質（1.4 g/kg/day）後，達到維持體重、避免更多的肌肉／脂肪流失、白蛋白（1.7～2.0 g/dL）、運鐵蛋白（124～152 mg/dL）、總鐵結合能力（174～213 μg/dL）日漸改善，可作為患者短期營養治療成效之參考。希望藉由足夠的營養補充，達到早日脫離呼吸器之目的。
並列摘要
Acute respiratory failure (ARF) is a common cause of mortality in inpatients. ARF can be caused by many conditions, such as heart failure, pneumonia, and chronic obstructive pulmonary disease. Inpatients with respiratory failure that require the use of ventilator often have comorbid malnutrition. Under such circumstances, this may affect gaseous exchange, respiratory muscle strength, etc., which will increase the difficulty of weaning in patients with respiratory failure off the ventilator. In this study, patients with influenza B with comorbid ARF, having been given three weeks of high-calorie (34 kcal/kg/day) and high-protein (1.4 g/kg/day) diet, were able to maintain their body weight and prevent excessive muscle/fat loss, and their albumin (from 1.7 to 2.0 g/dL), transferrin (from 124 to 152 mg/ dL), and total iron-binding capacity (from 174 to 213 μg/dL) gradually improved. This can be used as a reference for short-term nutrition treatment for patients. It is hoped that through sufficient nutrient supplementation, early weaning from the ventilator can be achieved.