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危重症患者的营养支持。

Nutrition for the critically ill.

出版信息

Can Fam Physician. 1982 Nov;28:2021-5.

PMID:21286542
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2306664/
Abstract

Standard IV therapy for a critically ill patient is a form of semi-starvation. The rate of complications and mortality can be as much as 50% higher in malnourished patients. Assessing patients' nutritional state as it was before the surgery or illness by asking about eating patterns indicates how severely a patient may react to further malnourishment. Even more important is assessment of the patient's immune defense system. Rate of hypermetabolism in the critically ill will indicate the amounts of nutrients needed and when. Enteral feeding is best, where possible. The physician must know the exact contents of whatever liquid diet is being used. If parenteral nutrition is used, stringent aseptic technique must be employed.

摘要

危重症患者的标准 IV 治疗是一种半饥饿形式。营养不良患者的并发症和死亡率可高达 50%。通过询问饮食模式来评估患者在手术或疾病之前的营养状况,可以表明患者对进一步营养不良的反应程度。更重要的是评估患者的免疫系统防御能力。危重症患者的高代谢率将表明所需的营养物质的量和时间。在可能的情况下,肠内喂养是最佳选择。医生必须了解正在使用的任何液体饮食的确切内容。如果使用肠外营养,则必须采用严格的无菌技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d50/2306664/8f7ad879c7d8/canfamphys00249-0091-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d50/2306664/7d615ad27168/canfamphys00249-0089-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d50/2306664/5471664ff59e/canfamphys00249-0089-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d50/2306664/8f7ad879c7d8/canfamphys00249-0091-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d50/2306664/7d615ad27168/canfamphys00249-0089-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d50/2306664/5471664ff59e/canfamphys00249-0089-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d50/2306664/8f7ad879c7d8/canfamphys00249-0091-a.jpg

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Nutrition for the critically ill.危重症患者的营养支持。
Can Fam Physician. 1982 Nov;28:2021-5.
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本文引用的文献

1
Nutritional assessment and support during infection.感染期间的营养评估与支持
Am J Clin Nutr. 1977 Sep;30(9):1493-7. doi: 10.1093/ajcn/30.9.1493.
2
Hospital malnutrition. A prospective evaluation of general medical patients during the course of hospitalization.
Am J Clin Nutr. 1979 Feb;32(2):418-26. doi: 10.1093/ajcn/32.2.418.
3
Nutritional assessment and therapy of protein--calorie malnutrition in the hospital.
J Am Diet Assoc. 1977 Oct;71(4):393-7.