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[危重症患者特殊营养与代谢支持指南。更新版。西班牙重症监护医学与冠心病监护病房学会 - 西班牙肠外与肠内营养学会(SEMICYUC - SENPE)共识:肿瘤血液学患者]

[Guidelines for specialized nutritional and metabolic support in the critically-ill patient. Update. Consensus of the Spanish Society of Intensive Care Medicine and Coronary Units-Spanish Society of Parenteral and Enteral Nutrition (SEMICYUC-SENPE): oncohematological patient].

作者信息

Planas M, Fernández-Ortega J F, Abilés J

机构信息

Escuela de Ciencias de La Salud, Universidad de Vic, Barcelona, España.

出版信息

Med Intensiva. 2011 Nov;35 Suppl 1:53-6. doi: 10.1016/S0210-5691(11)70011-0.

Abstract

Patients with cancer, irrespective of the stage of their disease, can require admission to the intensive care unit as a result of the complications of their underlying process or the surgical or pharmacological treatment provided. The cancer itself, as well as the critical status that can result from the complications of the disease, frequently lead to a high degree of hypermetabolism and inadequate energy intake, causing a high incidence of malnutrition in these patients. Moreover, cancer causes anomalous use of nutritional substrates and therefore the route of administration and proportion and intake of nutrients may differ in these patients from those in non-cancer patients.

摘要

癌症患者,无论其疾病处于何种阶段,都可能因基础疾病的并发症或所接受的手术或药物治疗而需要入住重症监护病房。癌症本身以及疾病并发症可能导致的危急状态,常常会引发高度的高代谢和能量摄入不足,致使这些患者营养不良的发生率很高。此外,癌症会导致营养底物的异常利用,因此这些患者营养物质的给药途径、比例和摄入量可能与非癌症患者不同。

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