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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.

DOI:10.1007/BF02025869
PMID:820095
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。

相似文献

1
[Carbohydrate administration and electrolyte balance in patients under intensive care].[重症监护患者的碳水化合物给药与电解质平衡]
Z Ernahrungswiss. 1975 Dec;14(4):309-14. doi: 10.1007/BF02025869.
2
[Metabolic effects of parenteral administration of a combined carbohydrate solution (glucose, fructose, xylitol 2:2:1) (author's transl)].
Dtsch Med Wochenschr. 1976 Mar 5;101(10):369-73. doi: 10.1055/s-0028-1104090.
3
[Zinc and magnesium balance in long-term infusion of carbohydrates in healthy subjects].
Z Ernahrungswiss. 1975 Dec;14(4):295-301. doi: 10.1007/BF02025867.
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[Recommendations for the use of carbohydrates in the infusion therapy].
Z Ernahrungswiss. 1975 Dec;14(4):345-52. doi: 10.1007/BF02025874.
5
[Problems of parenteral nutrition and tube feeding in patients liver diseases].
Internist (Berl). 1978 Jan;19(1):72-8.
6
[Carbohydrate infusions in internal diseases. A comparative study in metabolically healthy, liver diseased and diabetic patients. VIII. Continuous infusions of low dosage carbohydrate mixtures in patients with liver cirrhosis].
Infusionsther Klin Ernahr. 1982 Aug;9(4):166-85.
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Comparison between glucose and a combination of glucose, fructose, and xylitol as carbohydrates for total parenteral nutrition of surgical intensive care patients.
Am J Surg. 1977 Feb;133(2):199-205. doi: 10.1016/0002-9610(77)90080-0.
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[Glucose, fructose and xylitol as energy carriers in postoperative parenteral nutrition (comparative studies) (author's transl)].
Dtsch Med Wochenschr. 1975 Mar 14;100(11):527-33. doi: 10.1055/s-0028-1106249.
9
[Carbohydrates in parenteral feeding].[肠外营养中的碳水化合物]
Dtsch Med J. 1970 Mar 20;21(6):339-40 passim.
10
[The reaction of lipids to parenteral administration of carbohydrates].
Infusionstherapie (1973). 1974 Oct;1(7):545-7.

引用本文的文献

1
[Differences in postoperative metabolism after pre- and postoperative beginning of total parenteral nutrition].[全胃肠外营养术前及术后开始应用对术后代谢的影响差异]
Z Ernahrungswiss. 1980 Jun;19(2):122-39. doi: 10.1007/BF02021396.

本文引用的文献

1
[Xylitol, metabolism and clinical use].[木糖醇、代谢与临床应用]
Klin Wochenschr. 1971 Mar 1;49(5):233-45. doi: 10.1007/BF01485423.