婴幼儿营养不良病例分析及能量需求评估.pdfVIP

FTT–CASESTUDY

1.Summarize

A:weighthxnoted

Thereisadownwarddeviationinweightpercentileover2%ilebands.

Lengthistrackingaround75thpercentile.

ThisindicatesFTT

B:NIL

C:4.5mtholdmale

Admittedtohospitalwithbronchiolitis[,brɔŋkiəulaitis]andpoorfeeding

Bornatterm

Becameill3wksagowithgastroenteritis

Hardtobreathe,verysleepy,tiresquicklywithfeeds,

D:Bottlefedfrom8wksofage(mum’sbfranout)

ChangedtoS26step1,8x120ml/day(6feeds/day4wksago)

Oftendoesn’ttakemorethan100mlperbottle

S:livesathomewithparents,istheir1stchild

2.Assessment

-Quantitive:E:512.6calP:11.5g,9.3%F:27.4g,48%CHO:55.1g,42%

-Qualitive:morefrequentfeedsandsvolumeoffeeds

3.Furtherinfo

relevantbiochemicaltest(anydeficiencies?)

mealtimebehavior?

support?Fromparents

Financialprob?

Supplements?

4.EstimatedreqforFTT

energy=120-150cal/kgx6.5kg(idealwt)=780-975cal/d

protein=2-4g/kgx6.5=13-26g/d

5.Compare

Lowenergyintake(E:512.6cal780-975cal/d)–53%-66%

Lowprtintake(11.5g13-26g/d)–44%-88%

morefrequentfeedsandsvolumeoffeeds

6.Shortlongtermrisks

Shortterm:weightloss,nutritionaldeficiencies

Longterm:impairedgrowth(braingrowth),sloweddevelopment,futureadult

health

7.Goals

Achieveappropriateweightgainandcatchupgrowth

FTT——案例研究

1.总结A：注意到体重百分位在2%范围内存在向下偏差。长度在

75th百分位附近。这表示FTTB：无C：4.5个月大的因细支气管

炎[,brɔŋkiəulaitis]入院且喂养不良足月出生3周前因肠胃炎生病呼

吸，很困，很快就会疲倦，D：从8周龄开始用奶瓶喂养（妈

妈的男朋友用完了）更改为S26第1步，8x120ml/天（4周前/天6次

喂养）通常每瓶摄入量不会超过100mlS：与父母一起住在家里，是

他们的1st孩子

2.评估

-定量：E:512.6calP:11.5g,9.3%F:27.4g,48%