Hill G L, Blackett R L, Pickford I, Burkinshaw L, Young G A, Warren J V, Schorah C J, Morgan D B
Lancet. 1977 Mar 26;1(8013):689-92. doi: 10.1016/s0140-6736(77)92127-4.
Indices of nutritional state were measured in 105 surgical patients. The indices were chosen to give information on protein-calorie malnutrition, anaemia, vitamin deficiency. Abnormal values for the various indices were common in the group as a whole and most frequent (50%) in patients who were still in hospital more than a week after major surgery. These patients had a high frequency of anaemia, vitamin deficiency, weight-loss, loss of arm-muscle bulk, and low plasma levels of transferrin and albumin. These abnormalities had gone almost entirely unrecognised, even in patients with sepsis after major surgery, who would benefit from improvement in nutritional state.
对105例外科手术患者的营养状况指标进行了测量。选择这些指标是为了获取有关蛋白质 - 热量营养不良、贫血、维生素缺乏的信息。在整个研究组中，各种指标的异常情况很常见，在大手术后住院超过一周的患者中最为频繁（50%）。这些患者贫血、维生素缺乏、体重减轻、手臂肌肉量减少以及转铁蛋白和白蛋白血浆水平较低的发生率很高。即使在大手术后发生脓毒症的患者中，这些异常情况几乎完全未被识别，而这些患者会从营养状况的改善中受益。
