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烧伤患者的代谢与营养

Burn Patient Metabolism and Nutrition.

作者信息

Nunez Johanna H, Clark Audra T

机构信息

University of Texas Southwestern Medical Center, Dallas, TX, USA.

Department of Surgery, University of Texas Southwestern Medical Center, E05514B, 5323 Harry Hines Boulevard, Dallas, TX 75390, USA.

出版信息

Phys Med Rehabil Clin N Am. 2023 Nov;34(4):717-731. doi: 10.1016/j.pmr.2023.06.001. Epub 2023 Jul 6.

Abstract

Following severe burns, patients have unique metabolic derangements that make adequate nutritional support imperative for their survival and recovery. Patients with burns have persistent and prolonged hypermetabolic states that lead to increased catabolism following injury. During rehabilitation, catabolism leads to increased muscle wasting and cachexia. Failure to adequately meet the patient's increased nutritional requirements can lead to poor wound healing, increased infections, and overall organ dysfunction. Because of these risks, adequate assessment and provision of nutritional needs are imperative to care for these patients.

摘要

严重烧伤后,患者会出现独特的代谢紊乱,这使得充足的营养支持对其生存和康复至关重要。烧伤患者处于持续且长期的高代谢状态,受伤后分解代谢增加。在康复过程中,分解代谢会导致肌肉萎缩和恶病质加剧。未能充分满足患者增加的营养需求会导致伤口愈合不良、感染增加以及整体器官功能障碍。由于这些风险,对这些患者进行充分的营养需求评估和提供营养支持至关重要。

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