Fogliani J, Labastie J, Fuentes P, Giudicelli R, Noirclerc M
Ann Anesthesiol Fr. 1977;18(4):377-83.
Pre-operative assessment of a patient suffering from a carcinoma of the oesophagus demonstrates numerous pathological features and marked malnutrition. The authors give details of their method of nutritional preparation: operation is scheduled only when the patients are restored to a state of anabolism, i.e. when daily potassium balance is greater than 40 mEq and daily nitrogen balance exceeds 4 g. Carolies are provided either intravenously or via a gastric tube. Alimentation consists on average of 2,000 to 2,6000 calories as carbohydrate and lipids and 12 to 14 g of nitrogen. This preparation lasts on average for one week. It is associated with a reduction in mortality and the number of postoperative complications.
对一名食管癌患者进行的术前评估显示出许多病理特征和明显的营养不良。作者详细介绍了他们的营养准备方法：仅在患者恢复到合成代谢状态时才安排手术，即每日钾平衡大于40毫当量且每日氮平衡超过4克时。热量通过静脉或胃管提供。营养供应平均包括2000至2600千卡的碳水化合物和脂质以及12至14克氮。这种准备平均持续一周。它与死亡率降低和术后并发症数量减少有关。
