| 摘要 |
To evaluate the relationship between hyperbilirubinemia (HB) and hyper-alimentation (HA) in pediatric surgical patients, seventy-two children receiving long-term hyperalimentation nutritional support during their admission in surgical department, National Taiwan University Hospital from January, 1991 to December, 1995 were reviewed retrospectively. The purpose of this study was to find out the relationship between hyper-bilirubinemia and several possible risk factors. The incidence of hyper-bilirubinemia was 30.56%, Patients younger than two months old had a higher incidence of HB. The average period for hyperalimentation and no-thing per os (NPO) were significantly longer in HB group (56.6+20.2 days and 30.2+9.6 days) than in the non-HB group (29.1-12.9 days and 14.8-7.1 days). The midgut-involved disease pattern was significantly more in the HB group than in the non-HB group. The infection rate was higher in the HB group than in the non-HB group. Fat supplement amount was larger in the HB (2.25+0.63 g/Kg/d) than in the non-HB group (0.87-0.40 g/Kg/d). Patients receiving MVC 9+3 (biotin, folic acid, and vitamin-Bie included) as vitamin supplement source was associated with a lower incidence of HB than those using MULTI VITA. Body weight, glucose amount or amino acid amount in HA formula and HA route (central or peripheral) in this study were not correlated with an HB condition. |
