Cerra F B
Nutrition Support Service and Surgical Critical Care, University of Minnesota Hospitals, Minneapolis.
Crit Care Clin. 1986 Oct;2(4):807-19.
The metabolic response to injury is a different process from starvation. As such, it requires a different set of nutritional support principles in order to provide effective therapy that is cost-conscious and with a minimum of complications. In all cases, it is essential to restore and to maintain oxygen transport prior to instituting nutritional support. In the higher levels of stress, an enhanced response can be achieved with the modified amino acid formulas in a setting of balanced nutritional support. With the principles outlined above, nutritional status can be effectively managed in most settings as a variable that influences morbidity and mortality in surgery, polytrauma, and sepsis.
机体对损伤的代谢反应与饥饿是不同的过程。因此，需要一套不同的营养支持原则，以便提供具有成本效益且并发症最少的有效治疗。在所有情况下，在开始营养支持之前恢复并维持氧运输至关重要。在较高应激水平下，在平衡营养支持的情况下，使用改良氨基酸配方可实现增强反应。根据上述原则，在大多数情况下，营养状况作为影响手术、多发伤和脓毒症发病率和死亡率的一个变量可得到有效管理。
