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重型颅脑损伤患者的热量需求

Caloric requirements in patients with severe head injuries.

作者信息

Fruin A H, Taylon C, Pettis M S

出版信息

Surg Neurol. 1986 Jan;25(1):25-8. doi: 10.1016/0090-3019(86)90109-6.

DOI:10.1016/0090-3019(86)90109-6
PMID:3941963
Abstract

Indirect calorimetry was performed on 15 nonsteroid-treated, head-injured patients over 16 postinjury days. A search was made for a clinical marker that could be used to predict the caloric requirement in individual head-injured patients. Of all parameters reviewed, only motor activity correlated with the caloric needs of the patients (P less than 0.0001). Flaccid patients had a mean caloric expenditure of 108% of expected values, whereas patients with abnormal motor activity had a mean caloric expenditure of 191% of expected values.

摘要

对15名未接受类固醇治疗的颅脑损伤患者在伤后16天内进行了间接测热法。寻找一种可用于预测个体颅脑损伤患者热量需求的临床指标。在所有审查的参数中,只有运动活动与患者的热量需求相关(P小于0.0001)。弛缓性患者的平均热量消耗为预期值的108%,而运动活动异常的患者平均热量消耗为预期值的191%。

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孤立性头部创伤中与高代谢相关的颅内压升高
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