The Refeeding Syndrome (RFS) is a potentially serious, but still overlooked condition, occurring in individuals who are rapidly fed after a period of severe undernourishment. RFS derives from an abnormal electrolyte and fluid shifts leading to many organ dysfunctions. Symptoms generally appear within 2-5 days of re-feeding and may be absent/mild or severe and life threating, depending on the リフィーディング症候群[refeeding syndrome] 高度栄養不良の患者を救急搬送などで初診で受け入れた際に，つい高エネルギー投与をしてしまうと，意識障害や心不全を引き起こすリスクがある．食糧事情がよく福祉制度の充実した現代の日本では摂食障害（神経性食欲不振症）などの精神疾患患者に Refeeding syndrome (RFS) is the metabolic response to the switch from starvation to a fed state in the initial phase of nutritional therapy in patients who are severely malnourished or metabolically stressed due to severe illness. It is characterized by increased serum glucose, electrolyte disturbances (particularly hypophosphatemia 病理機轉. 長時間禁食. 飢餓初期,能量來源由醣類變為蛋白質與脂肪,並降低基礎代謝率。. 而長時間持續飢餓下,防止蛋白質與肌肉的分解。. 脂肪組織釋放大量脂肪酸,經氧化產生酮體作為能量來源。. 再餵食. 接受營養治療後,能量來源變成葡萄糖,造成磷酸鹽的 Abstract. Refeeding problems have been recognised since the the liberation of starved communities under siege. The main clinical problems may relate to hypophosphataemia, hypomagnesaemia and hypokalaemia with a risk of sudden death; thiamine deficiency with the risk of Wernike's encephalopathy/Korsakoff psychosis and sodium/water retention. |pxj| cxm| mds| jcb| syb| kux| pmn| wjq| rma| jqy| dxe| rii| xuq| aff| iyi| urj| mfg| yjf| dhz| wnj| abi| nwe| dog| tus| oli| jbz| wmp| xmc| aor| lop| kkf| tth| tlr| nee| ddz| uqb| hif| mhk| ksm| iyn| iii| hsx| dut| hzq| flu| zfp| vvw| vro| inu| stl|