Seltzer M H, Fletcher H S, Slocum B A, Engler P E
JPEN J Parenter Enteral Nutr. 1981 Jan-Feb;5(1):70-2. doi: 10.1177/014860718100500170.
Instant nutritional assessment of the critically ill patient using serum albumin level and total lymphocyte count is reported. When an intensive care unit population is compared to the general hospital population a 6-fold increase in albumin level depressions, a 2-fold increase in lymphocyte count depression, and an 11-fold increase in depression of both parameters was noted in the intensive care unit population. Surgical intensive care unit (SICU) patients with depressed albumin levels and total lymphocyte counts had twice the complication rate and 4.5 times the death rate of those SICU patients with normal albumin levels and lymphocyte counts. It is concluded that serum albumin levels and total lymphocyte count determinations are valuable tools for instant nutritional assessment of the critically ill patient.
据报道，可利用血清白蛋白水平和总淋巴细胞计数对重症患者进行即时营养评估。当将重症监护病房的人群与综合医院的人群进行比较时，发现重症监护病房人群中白蛋白水平降低增加了6倍，淋巴细胞计数降低增加了2倍，两项参数均降低增加了11倍。白蛋白水平和总淋巴细胞计数降低的外科重症监护病房（SICU）患者的并发症发生率是白蛋白水平和淋巴细胞计数正常的SICU患者的两倍，死亡率是其4.5倍。结论是，血清白蛋白水平测定和总淋巴细胞计数是对重症患者进行即时营养评估的有价值工具。
