Abbott W M, Abel R M, Beck C H, Fischer J E
Arch Surg. 1975 Sep;110(9):1110-2. doi: 10.1001/archsurg.1975.01360150054010.
The effectiveness of an intravenous nutritional program plus aggressive dialysis was studied in 32 patients with renal failure following ruptured abdominal aortic aneurysm. Each patient was managed postoperatively with a renal failure fluid regimen, consisting of the eight essential amino acids plus dextrose in conjunction with peritoneal dialysis and hemodialysis. This regimen induced salutary metabolic effects temporarily improving the patient's condition in most instances. No technical or septic complications associated with the intravenous dietary therapy occurred. However, the incidence of recovery of renal function was low, and the overall patient survival was only 12.5%. The experience indicates that although this program has been shown to be efficacious in some patients with acute renal failure, it seems of little benefit in those whose renal failure follows ruptured aortic aneurysm.
对32例腹主动脉瘤破裂后出现肾衰竭的患者，研究了静脉营养方案联合强化透析的有效性。每位患者术后采用肾衰竭液体疗法，即由8种必需氨基酸加葡萄糖组成，并结合腹膜透析和血液透析。该疗法产生了有益的代谢效应，在大多数情况下暂时改善了患者的病情。未发生与静脉饮食疗法相关的技术或感染并发症。然而，肾功能恢复的发生率较低，患者总体生存率仅为12.5%。该经验表明，尽管该方案已被证明对一些急性肾衰竭患者有效，但对那些腹主动脉瘤破裂后出现肾衰竭的患者似乎益处不大。
