Mory M, Wehner W
1. Klinik für Chirurgie, Bezirkskrakenhauses Friedrick Wolf Karl-Marx-Stadt.
Infusionstherapie. 1989 Feb;16(1):41-3.
In patients with colorectal tumors of stages T4 N0-N1 and M0 the effectiveness of hypocaloric nutrition in the early postoperative period was monitored. Only patients without a disturbed nutrition state in the preoperative period were selected for this procedure, in which Schmoz' 6-point-system (Hb, albumin, transferrin, anthropometries and immune state) was used for this distinction. The nutrition solution used was Infesol (40.0 g amino acids to 100.0 g sorbitol in 11). The postoperative control of protein values showed that all values were normal; only albumin decreased from the norm on the second postoperative day. Nitrogen losses in 24-h urine were on average 15 g N, with an N intake of 9.5 g daily. All patients were fed by the peripheral-venous way. Complications were minor and were favorable compared to those observed in a group given hypercaloric nutrition.
在T4 N0-N1期和M0期结直肠肿瘤患者中，监测了术后早期低热量营养的有效性。仅选择术前营养状态未受干扰的患者进行该程序，其中使用施莫兹6分系统（血红蛋白、白蛋白、转铁蛋白、人体测量学和免疫状态）进行区分。使用的营养液是Infesol（每升含40.0克氨基酸和100.0克山梨醇）。术后蛋白质值的对照显示所有值均正常；仅白蛋白在术后第二天从正常水平下降。24小时尿氮损失平均为15克氮，每日氮摄入量为9.5克。所有患者均通过外周静脉途径喂养。并发症轻微，与给予高热量营养的组相比情况较好。
