Pfisterer M, Lessire H, Kleine R, Nolte G, Puchstein C
Klinik für Anästhesiologie und operative Intensivmedizin, Marienhospital, Universitätsklinik der Ruhr-Universität Bochum.
Acta Anaesthesiol Belg. 1989;40(3):187-94.
Adequate nutritional support is an important goal for the management of burn patients. Caloric requirements are higher than in any other major trauma or disease. The development of hypermetabolism and hypercatabolism leads to an increase in resting energy expenditure which depends on the severity of the injury. Therefore, with the intent to counteract these developments and their complications, a balanced carbohydrate, fat and protein intake should be adjusted to the actual needs. This paper gives a survey of the metabolic consequences of burns, reviews the underlying pathophysiology and tries to give practical guidelines for the nutritional support of the burn patient.
充足的营养支持是烧伤患者治疗的一个重要目标。其热量需求高于其他任何重大创伤或疾病。高代谢和高分解代谢的发展导致静息能量消耗增加，这取决于损伤的严重程度。因此，为了对抗这些发展及其并发症，应根据实际需求调整碳水化合物、脂肪和蛋白质的均衡摄入。本文概述了烧伤的代谢后果，回顾了潜在的病理生理学，并试图为烧伤患者的营养支持提供实用指南。
