过犹不及：过度喂养的弊端
Too much of a good thing: the curse of overfeeding.
作者信息
Griffiths Richard D
机构信息
Division of Metabolic & Cellular Medicine, School of Clinical Sciences, University of Liverpool, Liverpool, L69 3GA, UK.
出版信息
Crit Care. 2007;11(6):176. doi: 10.1186/cc6165.
Abstract
Enteral nutrition (EN) gives a legacy of under nutrition in intensive care patients but few appreciate that parenteral nutrition (PN) carries the other risk of overfeeding if used injudiciously. Over-feeding presents a significant metabolic stress but tight glycaemic control is now masking the traditional warning signs and does not on its own negate the need to give patients the right amount at the right time.
摘要
肠内营养（EN）会给重症监护患者留下营养不良的问题，但很少有人意识到，如果不合理使用，肠外营养（PN）会带来过度喂养的风险。过度喂养会带来显著的代谢应激，但目前严格的血糖控制掩盖了传统的警示信号，而且严格的血糖控制本身并不能消除在正确的时间给患者提供适量营养的必要性。
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