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Application of percutaneous endoscopic gastrostomy in three infants with chronic kidney disease
Fang Xiaoyan, Tang Zifei, Hua Haimei, Zhou Qing, Chen Jing, Zhai Yihui, Miao Qianfan, Tang Xiaoshan, Xu Hong, Shen Qian
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Application of percutaneous endoscopic gastrostomy in three infants with chronic kidney disease
The paper summarizes the clinical and follow-up data of percutaneous endoscopic gastrostomy (PEG) in three infants with chronic kidney disease to explore the safety and reliability of using PEG to improve the growth and development, and nutritional status. During follow-up, the weight and height of case 1 and 3 were obviously improved. Case 2 was followed up for 3 months, due to dying of cardiac arrest, and the infant's height and weight were not significantly improved. Serum albumin and prealbumin improved in 3 cases after PEG. No PEG-related infection occurred in 3 infants.
Gastrostomy / Infant / Renal insufficiency, chronic {{custom_keyword}} /
表1 3例慢性肾脏病婴幼儿PEG前后生长发育、生化指标及热卡、蛋白质摄入量情况 |
| 项目 | PEG前 | PEG后3个月 | PEG后6个月 | PEG后12个月 | PEG后24个月 |
|---|---|---|---|---|---|
| 病例1 | |||||
| 体重［kg（百分位）］ | 8.40（<3rd） | 8.50（<3rd） | 10.70（10~25th） | 11.70（25th） | 16.00（75th） |
| 身高［m（百分位）］ | 0.76（3rd） | 0.76（3rd） | 0.83（3rd） | 0.87（25th） | 1.01（75th） |
| 体重指数（kg/m2） | 14.54 | 14.71 | 15.53 | 15.46 | 15.68 |
| 血清白蛋白（g/L） | 39.50 | 39.30 | 40.80 | 43.80 | 40.78 |
| 前白蛋白（mg/L） | 259.00 | 265.00 | 269.00 | 324.00 | 350.30 |
| 热卡摄入量/推荐量（%） | 60 | 70 | 100 | 100 | 100 |
| 蛋白质摄入量/推荐量（%） | 60 | 75 | 100 | 120 | 110 |
| 病例2 | |||||
| 体重［kg（百分位）］ | 8.50（<3rd） | 9.00（<3rd） | |||
| 身高［m（百分位）］ | 0.74（<3rd） | 0.75（<3rd） | |||
| 体重指数（kg/m2） | 15.52 | 16.00 | |||
| 血清白蛋白（g/L） | 40.40 | 47.40 | |||
| 前白蛋白（mg/L） | 288.00 | 293.00 | |||
| 热卡摄入量/推荐量（%） | 60 | 80 | |||
| 蛋白质摄入量/推荐量（%） | 60 | 100 | |||
| 病例3 | |||||
| 体重［kg（百分位）］ | 8.20（3rd） | 8.45（3~10th） | 9.70（10th） | 10.00（10th） | |
| 身高［m（百分位）］ | 0.70（<3rd） | 0.72（<3rd） | 0.73（<3rd） | 0.80（3rd） | |
| 体重指数（kg/m2） | 16.73 | 16.30 | 18.20 | 15.63 | |
| 血清白蛋白（g/L） | 36.50 | 37.60 | 37.90 | 47.29 | |
| 前白蛋白（mg/L） | 237.00 | 324.00 | 353.00 | 322.70 | |
| 热卡摄入量/推荐量（%） | 70 | 80 | 90 | 100 | |
| 蛋白质摄入量/推荐量（%） | 80 | 90 | 100 | 100 |
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http://journal.yiigle.com/LinkIn.do?linkin_type=cma&DOI=10.3760/cma.j.cn441217-20221215-01224
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