McDougal W S, Wilmore D W, Pruitt B A
Surg Gynecol Obstet. 1977 Sep;145(3):408-14.
Hypocaloric near isosmotic infusions of crystalline amino acids have the same effect on nitrogen balance as do equal caloric infusions of glucose in burned patients with and without bacteremia. The effects of the two substrates on balance appeared equal and additive. Infusion of a 10 per cent soybean oil emulsion was indistinguishable from low dosage glucose when administered with amino acids. Near isosmotic hypocaloric diets containing glucose and amino acids significantly diminish nitrogen loss in severely burned patients. A combination of both substrates in the infusate is to be preferred.
在有或没有菌血症的烧伤患者中，低热量近等渗的结晶氨基酸输注对氮平衡的影响与等热量的葡萄糖输注相同。两种底物对平衡的影响似乎是相等且可叠加的。当与氨基酸一起给药时，10%的大豆油乳剂输注与低剂量葡萄糖输注没有区别。含有葡萄糖和氨基酸的近等渗低热量饮食可显著减少严重烧伤患者的氮损失。输注液中两种底物的组合更可取。
