Curreri P W, Luterman A
Surg Clin North Am. 1978 Dec;58(6):1151-6. doi: 10.1016/s0039-6109(16)41683-x.
Patients with major thermal injury exhibit hypermetabolism as a result of neurohormonal alterations. Thus caloric requirements are exaggerated. Failure to provide supranormal caloric intake by both enteral and parenteral routes is associated with pronounced weight loss, delayed wound healing, decreased host resistance, and cellular dysfunction. Special dietary programs delivered early in the course of treatment must be utilized to prevent these complications of acute postburn malnutrition.
重度热损伤患者由于神经激素改变而呈现高代谢状态。因此，热量需求增加。经肠内和肠外途径未能提供超常热量摄入与明显体重减轻、伤口愈合延迟、宿主抵抗力下降及细胞功能障碍相关。必须采用在治疗早期实施的特殊饮食方案来预防急性烧伤后营养不良的这些并发症。
