代谢手术术前内科管理进展
单颖仪, 于浩泳

Advances in preoperative medical management of metabolic surgery
SHAN Yingyi, YU Haoyong
表2 预防和治疗微量营养素缺乏的方法
Tab 2 Prevention and treatment of micronutrient deficiencies
MicronutrientPreventionTreatment
Iron45‒60 mg/d by oral administration150‒200 mg/d by oral administration
Zinc15 mg/d by oral administration60 mg twice a day by oral administration
Copper2 mg/d by oral administration (≥1 mg Cu per 8‒15 mg Zn to prevent copper deficiency is recommended)Severe deficiency: 2‒4 mg/d by intravenous injection for 6 d
Vitamin A6 000 IU/d by oral administrationWithout corneal changes: 10 000‒25 000 IU/d by oral administration. With corneal changes: 50 000‒100 000 IU by intramuscular injection for 3 d, followed by 50 000 IU/d by intramuscular injection for 2 weeks to achieve clinical improvement
Vitamin B112 mg/d by oral administration500 mg/d by intravenous injection for 3‒5 d, followed by 250 mg/d by intravenous injection for 3‒5 d or until symptoms disappear. If further treatment is required, 100 mg/d is taken by oral administration
Vitamin B6400 μg/d by oral administration1 000 μg/d by oral administration
Vitamin B12250‒350 μg/d or 1 000 μg/wk by sublingual administration1 000‒2 000 μg/d by sublingual administration
Vitamin D2 or D3Vitamin D2 or D3 3 000 IU/d by oral administration to reach normal concentrations of 30 ng/mLVitamin D2 or D3 50 000 IU/week for 8 weeks, followed by maintenance therapy of 1 500‒2 000 IU/d by oral administration to achieve normal concentrations
Vitamin E400 IU/d by oral administration800‒1 200 IU/d by oral administration
Vitamin K300 μg/d by oral administration10 mg by intramuscular injection, followed by 1‒2 mg/week by oral administration