Carpentier Y A
Acta Chir Belg. 1981 Mar-Jun;80(2-3):67-73.
The incidence of denutrition in hospitalized patients is high. A relation exists between morbidity and the altered nutritional status. Parenteral nutrition is one way to preserve or to restore the nutritional equilibrium. Certain risks of the method (septicemia, hyperglycemia, hyperosmolarity) are well known and can easily be prevented; other metabolic effects have recently been published. The indication for parenteral nutrition, the proper timing, the total amount and the proportion of the nutrients must be carefully analysed for each individual patient. It seems essential to define objective parameters to determine the nutritional status of the patient as well as the effect of the applied nutritional therapy.
住院患者营养不良的发生率很高。发病率与营养状况改变之间存在关联。肠外营养是维持或恢复营养平衡的一种方式。该方法存在某些风险(败血症、高血糖、高渗性),这些风险众所周知且易于预防;其他代谢影响最近也有相关报道。对于每一位患者,都必须仔细分析肠外营养的适应证、恰当的时机、营养素的总量和比例。定义客观参数以确定患者的营养状况以及所应用营养治疗的效果似乎至关重要。