配方灌食完美？ 她低血鈉急診
<p style="LINE-HEIGHT: 150%; MARGIN: 0cm 0cm 0pt; WORD-BREAK: break-all; mso-pagination: widow-orphan" class="MsoNormal"><font size="3"><span style="LINE-HEIGHT: 150%; FONT-FAMILY: '新細明體','serif'; mso-bidi-font-size: 12.0pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">【聯合報</span><span style="LINE-HEIGHT: 150%; FONT-FAMILY: 細明體; mso-bidi-font-size: 12.0pt; mso-bidi-font-family: 細明體; mso-font-kerning: 0pt" lang="EN-US">╱</span><span style="LINE-HEIGHT: 150%; FONT-FAMILY: '新細明體','serif'; mso-bidi-font-size: 12.0pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">記者</span><span style="LINE-HEIGHT: 150%; FONT-FAMILY: 'Arial','sans-serif'; mso-bidi-font-size: 12.0pt; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體" lang="EN-US"><span style="FONT-FAMILY: '新細明體','serif'; COLOR: windowtext; TEXT-DECORATION: none; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; text-underline: none" lang="EN-US"><span lang="EN-US">李青霖</span></span></span><span style="LINE-HEIGHT: 150%; FONT-FAMILY: '新細明體','serif'; mso-bidi-font-size: 12.0pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">／新竹報導】</span><span style="LINE-HEIGHT: 150%; FONT-FAMILY: 'Arial','sans-serif'; mso-bidi-font-size: 12.0pt; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體" lang="EN-US"><!--?xml:namespace prefix = o ns = "urn:schemas-microsoft-com<img src="./images/smilies/default/shocked.gif" border="0" smilieid="6" alt=":o" /--><o:p></o:p></span></font></p>
<p style="LINE-HEIGHT: 190%; MARGIN: 0cm 0cm 0pt; WORD-BREAK: break-all; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal"><font size="3"><span style="LINE-HEIGHT: 190%; FONT-FAMILY: '新細明體','serif'; mso-bidi-font-size: 12.0pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">癌病或慢性病患者常因進食量不足，採鼻胃管餵食，家屬常選用藥妝店、藥局常見的「管灌配方」，以為營養夠了，其實，不同病患需求不同，臺大醫院新竹分院癌症中心營養師鄭竹芸提醒大眾，灌食內容需經醫師與營養師評估，避免危險。</span><span style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; mso-bidi-font-size: 12.0pt; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"> <span lang="EN-US"><o:p></o:p></span></span></font></p>
<p style="LINE-HEIGHT: 190%; MARGIN: 0cm 0cm 0pt; WORD-BREAK: break-all; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal"><font size="3"><span style="LINE-HEIGHT: 190%; FONT-FAMILY: '新細明體','serif'; mso-bidi-font-size: 12.0pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">鄭竹芸日前收治一名</span><span style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; mso-bidi-font-size: 12.0pt; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體" lang="EN-US">80</span><span style="LINE-HEIGHT: 190%; FONT-FAMILY: '新細明體','serif'; mso-bidi-font-size: 12.0pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">多歲女患者，罹患大腸癌接受腸造口手術後，因體力不佳、進食量不足，須用鼻胃管餵食，近來有嘔吐、嗜睡、反應遲緩及意識混亂等症狀，到急診就醫。</span><span style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; mso-bidi-font-size: 12.0pt; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"> <span lang="EN-US"><o:p></o:p></span></span></font></p>
<p style="LINE-HEIGHT: 190%; MARGIN: 0cm 0cm 0pt; WORD-BREAK: break-all; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal"><font size="3"><span style="LINE-HEIGHT: 190%; FONT-FAMILY: '新細明體','serif'; mso-bidi-font-size: 12.0pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">醫護人員抽血檢驗發現，患者血鈉濃度偏低，遠低於正常值，住院後，醫師注射生理食鹽水、請營養師評估她營養及攝食情況，建議灌食時添加食鹽，數日後，她血鈉值逐漸上升，意識及精神狀況也漸入佳境。</span><span style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; mso-bidi-font-size: 12.0pt; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"> <span lang="EN-US"><o:p></o:p></span></span></font></p>
<p style="LINE-HEIGHT: 190%; MARGIN: 0cm 0cm 0pt; WORD-BREAK: break-all; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal"><font size="3"><span style="LINE-HEIGHT: 190%; FONT-FAMILY: '新細明體','serif'; mso-bidi-font-size: 12.0pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">鄭竹芸說，一般大眾常認為藥局販售的罐頭配方是完美的，足夠病患所需營養，實際上，這類配方有限制，不同病患也會產生差異，即使配方提供總熱量足，病患仍可能發生電解質不平衡問題，例如低血鈉症。</span><span style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; mso-bidi-font-size: 12.0pt; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"> <span lang="EN-US"><o:p></o:p></span></span></font></p>