Schmitz J E
Universitätsklinik für Anästhesiologie, Klinikum der Universität Ulm.
Infusionstherapie. 1989 Oct;16(5):216-20.
Severe septicemia is commonly a catabolic disease process with increased energy demands and enhanced protein degradation. Septic ICU-patients are on the one hand dependent on a sufficient substrate application; on the other hand, however, the organism's tolerance against exogenous substrate application is very often diminished in these patients because of varying organ insufficiencies. Because septicemia is not a uniform type of illness with predictable organ dysfunctions, it is not possible to give recommendations for a specific nutritional diet in septic patients. Nutritional management must be adapted individually according to the type and the degree of organ dysfunctions associated with septicemia.
严重败血症通常是一种分解代谢性疾病过程，能量需求增加，蛋白质降解增强。脓毒症重症监护病房患者一方面依赖充足的底物供应；然而另一方面，由于器官功能不全各异，这些患者机体对外源性底物供应的耐受性往往降低。由于败血症并非具有可预测器官功能障碍的统一疾病类型，因此无法针对败血症患者给出特定营养饮食的建议。营养管理必须根据与败血症相关的器官功能障碍的类型和程度进行个体化调整。
