Schiller H J, Galvin M, Meguid M M
Department of Surgery, University Hospital, SUNY Health Science Center, Syracuse.
Nutrition. 1993 Jan-Feb;9(1):45-8; discussion 48-9.
A case report is presented in which a man developed acute renal failure after a surgical misadventure. The initial management, postoperative course with the manifestation of acute tubular necrosis with oliguria and its physiological sequelae, nutrition management in the context of the overall treatment, hospital course, and patient's disease are discussed in detail. The rationale for giving nutrition support, the general considerations for providing nutrients, and the specific nutrition considerations as they pertain to the patient under discussion are outlined to provide a comprehensive guide and overview of the nutrition management of a patient with acute renal failure.
本文报告了一例男性患者在手术失误后发生急性肾衰竭的病例。详细讨论了初始治疗、术后出现少尿型急性肾小管坏死及其生理后遗症的病程、整体治疗背景下的营养管理、住院过程以及患者的病情。概述了给予营养支持的理由、提供营养素的一般考虑因素以及与所讨论患者相关的具体营养考虑因素,以提供急性肾衰竭患者营养管理的全面指南和概述。