Reissigl H, Bodner E, Falser N
Infusionsther Klin Ernahr. 1975 Apr;2(2):120-31.
The replacement of components of normal metabolism getting lost during operation is an important problem for the clinician. On the basis of a case of total pancreatectomy because of carcinoma of the pancreas this essential problem for the postoperative treatment is demonstrated. After control of the predominant metabolic parameters of the patient over a relatively long postoperative period, we want to formulate our conclusion as follows: In spite of the massive surgery we found only relatively small destruction of the patient's metabolic system. The evident variations in blood sugar level were probably caused by the often changing kinds of nutrition (the patient having been some weeks at home). As the most distinctive sign of a well performed therapy we regard the results of the daily weight control. In spite of the heavy physical stress over many months we could stabilize the patient's body weight after a short postoperative loss.
在手术过程中丢失的正常代谢成分的替代，是临床医生面临的一个重要问题。基于一例因胰腺癌行全胰切除术的病例，展示了术后治疗中这个关键问题。在术后较长一段时间内对患者主要代谢参数进行监测后，我们得出如下结论：尽管进行了大规模手术，但我们发现患者的代谢系统仅受到相对较小的破坏。血糖水平的明显变化可能是由于营养种类经常改变（患者已在家中数周）。我们认为每日体重监测结果是治疗效果良好的最显著标志。尽管患者在术后短期内体重下降，但在经历数月的重度身体应激后，我们仍能使其体重稳定下来。
