ESPGHAN／ESPEN儿科肠外营养指南11儿童家庭肠外营养2005.pdf

Journal of Pediatric Gastroenterology and Nutrition 41:S70–S75 November 2005 ESPGHAN. Reprinted with permission. 11. Home Parenteral Nutrition in Children METHODS programmes cater for children under one year old and include babies under the age of 6 months ((5) (LOE 3); Literature Search (7) (LOE 3)). Timeframe: publications from 1990, but single publications from 1980 onward were also considered. Condition Type of publications: case-control or cohort studies. Key Words: Children, parenteral nutrition (PN), home, long- Patients eligible for HPN should be in a stable term, cost, quality of life, complications, liver disease, meta- condition. This includes stability of the underlying dis- bolic bone disease, catheter-related sepsis, prevention. ease, fluid and electrolyte requirements, and reliable Language: English. central venous access. INDICATIONS Social and Familial Requirements for HPN Why Start an HPN Programme? Whatever the medical indication, some social and familial criteria have to be fulfilled before a child’s HPN In children, as in adult patients, long-term total or com- programme is organized. Parents have to be informed, plementary PN is required to preserve nutritional status motivated and should be able to cope with all medical, when oral or enteral nutrition cannot p