| Chen Xueying,Liu Yulong,Wang Youyou,Cai Meizhi,Huang Weiwei,Hong Xiuxiu,Zhao Sidi.Nutrition treatment scheme for a patient exposed to Nanjing “5.7” 192Ir source accident[J].Chinese Journal of Radiological Medicine and Protection,2016,36(5):377-381 |
| Nutrition treatment scheme for a patient exposed to Nanjing “5.7” 192Ir source accident |
| Received:February 06, 2016 |
| DOI：10.3760/cma.j.issn.0254-5098.2016.05.014 |
| KeyWords:192Ir Bone marrow type of acute radiation sickness Acute skin injury induced by irradiation Nutritional therapy |
| FundProject:江苏省临床医学科技专项(BL2014040);江苏省卫生计生委2014-2015年度预防医学科研项目(Y2015024) |
| Author Name | Affiliation | E-mail | | Chen Xueying | Department of Nutirion, Second Affiliated Hospital of Soochow University, Suzhou 215004, China | | | Liu Yulong | Department of Nuclear Emergency Center, Second Affiliated Hospital of Soochow University, Suzhou 215004, China | yulongliu2002@126.com | | Wang Youyou | Department of Nuclear Emergency Center, Second Affiliated Hospital of Soochow University, Suzhou 215004, China | | | Cai Meizhi | Department of Nutirion, Second Affiliated Hospital of Soochow University, Suzhou 215004, China | | | Huang Weiwei | Department of Nutirion, Second Affiliated Hospital of Soochow University, Suzhou 215004, China | | | Hong Xiuxiu | Department of Nutirion, Second Affiliated Hospital of Soochow University, Suzhou 215004, China | | | Zhao Sidi | Department of Nutirion, Second Affiliated Hospital of Soochow University, Suzhou 215004, China | |
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| Abstract:: |
| Objective To provide nutritional supportive scheme for patients with radiation injury through the treatment of the one exposed to Nanjing 192Ir source accident.Methods The reasonable nutrition treatment scheme was made on the basis of dietary survey and nutritional index monitoring during clinical stages of the patient, including body weight, body mass index(BMI), biochemical indexes, electrolyte, etc., as well as metabolic cart determination of resting energy expenditure (REE). Results Patient on admission (days 5 post-irradiated) weighing 42.5 kg, 172 days after the first irradiated (the first skin grafting) fell to a minimum of 36 kg, then gradually rise, hen rose back to normal range on days 383 before discharge. Normal admission hemoglobin was 135 g/L, 172 d after irradiated to a minimum of 54 g/L, normal discharge; when lymphocytes admission low as 0.5×109/L, 58 days back to normal after exposure, 172 days after irradiated down to 0.4×109/L. Serum albumin was normal admission 41.2 g/L, 172 days after irradiated down to 25.3 g/L. The normal level of serum prealbumin was 0.22 g/L, 248 days to a minimum of 0.04 g/L, the basic return to normal at discharge was 0.17 g/L. Admission normal liver function, bilirubin index slightly higher, the "all in one" parenteral nutrition after about 2.5 months later, bilirubin and liver function indicators were gradually increased, the adjusted treatment and nutrition liver and gallbladder and other gradually returned to normal after treatment. REE and the body weight were determined by metabolic cart on days 294, 308 and 342 for the energy requirements. Conclusions For patient with radiation injury, appropriate nutrition therapy is a key method for the clinical treatment and rehabilitation, which can maintain the nutritional status of patients and improve clinical treatment. |
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