程乐梅危重病患儿营养支持有效治疗和监护讲义.pptVIP

* * * * 定义： 糖异生：体内从非糖类物质如氨基酸、丙酮酸、甘油等合成葡萄糖的代谢，是维持血糖水平的重要过程。 若PH下降0．1则胰岛素敏感度下降30%，患者糖利用降低、呈高血糖。 FFA 游离脂肪酸 TG 甘油三酯 * 膳食营养素参考摄入量（DRIs） RDAs (推荐的日摄食量) * Lipids - Lipids may be safely used on a daily basis in most patients. Begin lipids at 1.0 gm/kg and advance by 1.0 gm/kg per day depending on a childs age and lipid clearance to the appropriate endpoint goal of 3 gm/kg in infants and 1 - 2.0 gm/kg in older children and adolescents, depending on clinical status. Essential Fatty Acid (EFA) Requirements - 20% Intralipid (2 kcal/cc) should be provided at a minimum dose of 0.5 - 1.0 gm/kg per day