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[重症监护患者的碳水化合物给药与电解质平衡]

[Carbohydrate administration and electrolyte balance in patients under intensive care].

作者信息

Bertels O, Grumeth M, Krämer G, Matzkies F, Petzoldt R, Sailer D, Tympner F, Waldherr A

出版信息

Z Ernahrungswiss. 1975 Dec;14(4):309-14. doi: 10.1007/BF02025869.

Abstract

A twenty-four percent solution of carbohydrates 0.2 g/kg/h consisting of fructose, xylit and glucose in a 2:1:1 ratio and an aminoacid solution 0.03 g/kg/h were given to 13 patients of the internal medicine intensive care unit. There was an unimportant loss of carbohydrates, only, with but few exceptions, i.e. a loss of 11% in 3 patients. The results demonstrate that the carbohydrates of the combined solution become utilized independent of each other. The balance of water, sodium, potassium and magnesium were not only negative but also positive. The elimination of calcium was between 1-19 mval/24 h, of phosphate between 0.6-8.7 mval/24 h.

摘要

向内科重症监护病房的13名患者给予了一种碳水化合物溶液(浓度为24%,0.2 g/kg/h,由果糖、木糖醇和葡萄糖按2:1:1的比例组成)以及一种氨基酸溶液(0.03 g/kg/h)。仅碳水化合物有少量丢失,只有少数例外情况,即3名患者中有11%的丢失。结果表明,混合溶液中的碳水化合物彼此独立被利用。水、钠、钾和镁的平衡不仅为负,也有正值。钙的排出量在1 - 19 mval/24 h之间,磷酸盐的排出量在0.6 - 8.7 mval/24 h之间。

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