Grimaud D, Jobard J, Maestracci P
Ann Anesthesiol Fr. 1977;18(11):871-81.
The first part of this report is devoted to a description of the metabolic pathways of the principle carbohydrates and polyols. The second part is concerned with the utilisation of these energy-providing substrates, when used in parenteral alimentation. Notions emerge of "total clearance" and of coefficient of utilisation in relation to the rate of administration for each of them. Finally, the third part deals with disturbances of carbolydate and polyol metabolism during stress and diabetes and the possiblilities of the development of hyperlactatemia according to the substances used or the pathological circumstances encountered. A table attempts to summarise the potential complications in comparison with all the substrates used in parenteral alimentation.
本报告的第一部分致力于描述主要碳水化合物和多元醇的代谢途径。第二部分关注这些提供能量的底物在胃肠外营养中的利用情况。由此产生了关于它们各自的“总清除率”以及与给药速率相关的利用系数的概念。最后，第三部分探讨了应激和糖尿病期间碳水化合物和多元醇代谢的紊乱情况，以及根据所使用的物质或所遇到的病理情况发生高乳酸血症的可能性。一张表格试图总结与胃肠外营养中使用的所有底物相比的潜在并发症。
