Hansbrough W B, Hansbrough J F
Department of Surgery, University of California, San Diego Medical Center 92103.
J Burn Care Rehabil. 1993 Sep-Oct;14(5):512-6. doi: 10.1097/00004630-199309000-00004.
We evaluated our attempts to aggressively feed 45 adult patients with burns with the use of intragastric tube feedings. Patients were divided into three burn sizes (20% to 30% total body surface area, 31% to 44% total body surface area, and > 44% total body surface area). No attempts were made to place feeding tubes across the pylorus. Patients were fed as early as possible after admission. Mean caloric intake met calculated nutritional goals beginning on the second day after burn injury, and in the severely burned group, mean caloric intake was 2500+ kcal by the second day. Initiation of intragastric feedings within hours of burn injury results in the provision of high daily levels of nutrition and may obviate the necessity of placing a transpyloric feeding tube in the majority of patients with burns.
我们评估了通过鼻胃管喂养对45例成年烧伤患者进行积极营养支持的尝试。患者按烧伤面积分为三组（总体表面积的20%至30%、31%至44%以及大于44%）。未尝试将喂养管穿过幽门。患者入院后尽早开始喂养。从烧伤后第二天开始，平均热量摄入达到计算出的营养目标，在严重烧伤组，到第二天平均热量摄入为2500千卡以上。烧伤后数小时内开始鼻胃管喂养可提供高水平的每日营养，并且在大多数烧伤患者中可能无需放置经幽门喂养管。
