调查:人工营养存在缺陷
文章来源:未知 文章作者:meng 发布时间:2010-06-28 06:17 字体: [ ]  进入论坛
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There are major deficiencies in the way hospitals provide artificial nutrition to sick babies and adults, an inquiry1 has found.

一项调查发现,医院向生病的婴儿和成年人提供人工营养的方式有很多缺陷。

Artificial feeding is for those who cannot absorb food via the <a href=gut2" width="226" height="282" src="/upimg/100628/4_064023_1.gif" />
Artificial feeding is for those who cannot absorb food via the gut

A national safety watchdog found problems in three quarters of the intravenous(静脉内的) feeding it cases examined.

Complications were avoidable in half the adult patients reviewed, it said.

Premature3 babies meanwhile were not always given the sustenance4(食物,生计) they needed, and delays were rife5(普遍的,流行的) , the report added.

The report from the National Confidential6 Enquiry into Patient Outcome and Death (NCEPOD) looked at more than 1,000 cases of artificial - or parenteral - nutrition in England, Wales and Northern Ireland.

Liquid containing key nutrients7 pumped from a bag directly into a vein8 is given to patients who cannot digest food through the gut(肠子) as a result of disease or surgery, or babies whose systems are not mature enough.

Training

A catalogue of problems were uncovered while reviewing questionnaires(问卷,调查表) and case notes from England, Wales and Northern Ireland, the "Mixed Bag" report found.

They included failure to ensure the catheter was inserted by a trained clinician under suitably sterile9(无菌的) conditions, as well as lapses10(失效) in monitoring and assessment11.

The report noted12 that intravenous feeding can cause fatal problems if not properly administered - from failure to take in enough calories and vitamins to blood poisoning - although the team did not itself uncover any deaths.

But it also found that in almost a third of adult cases it was being given where other forms of feeding via the gut were possible, putting patients at risk unnecessarily.

"There's a broader lack of understanding and knowledge of how to feed patients," said Dr James Stewart, NCEPOD clinical co-ordinator.

"Doctors can panic, and think this is the easiest way to go about dealing13 with a sick patient. But it certainly isn't the easiest, and in some cases it is completely inappropriate."

The group is also calling for greater consensus14(一致,舆论) among neonatologists(新生儿学专家) about best practice for pre-term babies after uncovering a "lottery15(彩票) " in the way in which infants were treated.

Out of the 264 cases reviewed, there were delays in recognising the need for artificial feeding in a third of cases, and further delays in starting treatment once a decision has been taken.

In nearly 40% of cases, the first feeding provided was considered inadequate16 for the baby's need. Complications, it found, were avoidable in a fifth of the babies treated.



点击收听单词发音收听单词发音  

1 inquiry nbgzF     
n.打听,询问,调查,查问
参考例句:
  • Many parents have been pressing for an inquiry into the problem.许多家长迫切要求调查这个问题。
  • The field of inquiry has narrowed down to five persons.调查的范围已经缩小到只剩5个人了。
2 gut MezzP     
n.[pl.]胆量;内脏;adj.本能的;vt.取出内脏
参考例句:
  • It is not always necessary to gut the fish prior to freezing.冷冻鱼之前并不总是需要先把内脏掏空。
  • My immediate gut feeling was to refuse.我本能的直接反应是拒绝。
3 premature FPfxV     
adj.比预期时间早的;不成熟的,仓促的
参考例句:
  • It is yet premature to predict the possible outcome of the dialogue.预言这次对话可能有什么结果为时尚早。
  • The premature baby is doing well.那个早产的婴儿很健康。
4 sustenance mriw0     
n.食物,粮食;生活资料;生计
参考例句:
  • We derive our sustenance from the land.我们从土地获取食物。
  • The urban homeless are often in desperate need of sustenance.城市里无家可归的人极其需要食物来维持生命。
5 rife wXRxp     
adj.(指坏事情)充斥的,流行的,普遍的
参考例句:
  • Disease is rife in the area.疾病在这一区很流行。
  • Corruption was rife before the election.选举之前腐败盛行。
6 confidential MOKzA     
adj.秘(机)密的,表示信任的,担任机密工作的
参考例句:
  • He refused to allow his secretary to handle confidential letters.他不让秘书处理机密文件。
  • We have a confidential exchange of views.我们推心置腹地交换意见。
7 nutrients 6a1e1ed248a3ac49744c39cc962fb607     
n.(食品或化学品)营养物,营养品( nutrient的名词复数 )
参考例句:
  • a lack of essential nutrients 基本营养的缺乏
  • Nutrients are absorbed into the bloodstream. 营养素被吸收进血液。 来自《简明英汉词典》
8 vein fi9w0     
n.血管,静脉;叶脉,纹理;情绪;vt.使成脉络
参考例句:
  • The girl is not in the vein for singing today.那女孩今天没有心情唱歌。
  • The doctor injects glucose into the patient's vein.医生把葡萄糖注射入病人的静脉。
9 sterile orNyQ     
adj.不毛的,不孕的,无菌的,枯燥的,贫瘠的
参考例句:
  • This top fits over the bottle and keeps the teat sterile.这个盖子严实地盖在奶瓶上,保持奶嘴无菌。
  • The farmers turned the sterile land into high fields.农民们把不毛之地变成了高产田。
10 lapses 43ecf1ab71734d38301e2287a6e458dc     
n.失误,过失( lapse的名词复数 );小毛病;行为失检;偏离正道v.退步( lapse的第三人称单数 );陷入;倒退;丧失
参考例句:
  • He sometimes lapses from good behavior. 他有时行为失检。 来自辞典例句
  • He could forgive attacks of nerves, panic, bad unexplainable actions, all sorts of lapses. 他可以宽恕突然发作的歇斯底里,惊慌失措,恶劣的莫名其妙的动作,各种各样的失误。 来自辞典例句
11 assessment vO7yu     
n.评价;评估;对财产的估价,被估定的金额
参考例句:
  • This is a very perceptive assessment of the situation.这是一个对该情况的极富洞察力的评价。
  • What is your assessment of the situation?你对时局的看法如何?
12 noted 5n4zXc     
adj.著名的,知名的
参考例句:
  • The local hotel is noted for its good table.当地的那家酒店以餐食精美而著称。
  • Jim is noted for arriving late for work.吉姆上班迟到出了名。
13 dealing NvjzWP     
n.经商方法,待人态度
参考例句:
  • This store has an excellent reputation for fair dealing.该商店因买卖公道而享有极高的声誉。
  • His fair dealing earned our confidence.他的诚实的行为获得我们的信任。
14 consensus epMzA     
n.(意见等的)一致,一致同意,共识
参考例句:
  • Can we reach a consensus on this issue?我们能在这个问题上取得一致意见吗?
  • What is the consensus of opinion at the afternoon meeting?下午会议上一致的意见是什么?
15 lottery 43MyV     
n.抽彩;碰运气的事,难于算计的事
参考例句:
  • He won no less than £5000 in the lottery.他居然中了5000英镑的奖券。
  • They thought themselves lucky in the lottery of life.他们认为自己是变幻莫测的人生中的幸运者。
16 inadequate 2kzyk     
adj.(for,to)不充足的,不适当的
参考例句:
  • The supply is inadequate to meet the demand.供不应求。
  • She was inadequate to the demands that were made on her.她还无力满足对她提出的各项要求。
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