Enrichens F, Olivero G, Mingrone G, Franchello A, Mao P
Istituto di Chirurgia d'Urgenza, Ospedale Molinette, Università degli Studi di Torino.
Chir Ital. 1994;46(6):49-53.
Current knowledge of physiopathology allows better understanding of the metabolic and immunological alterations that occur after trauma, thus allowing more adequate treatment. Nutritional support is recognized as an important therapeutic intervention to promote wound healing, reduce the risk of infection and improve survival. The patient with severe trauma needs nutritional support from the beginning of treatment. The early administration of enteral nutrition is an important factor in the reduction of gut bacterial translocation and thus of septic complications. In the early phase, the parenteral route is capable of providing a sufficient calorific and protein support, whilst awaiting the recovery of the enteral route.
目前对病理生理学的认识有助于更好地理解创伤后发生的代谢和免疫改变，从而实现更充分的治疗。营养支持被认为是促进伤口愈合、降低感染风险和提高生存率的重要治疗干预措施。严重创伤患者从治疗开始就需要营养支持。早期给予肠内营养是减少肠道细菌移位从而减少脓毒症并发症的重要因素。在早期阶段，肠外途径能够在等待肠内途径恢复的同时提供足够的热量和蛋白质支持。
