Ciesielski L, Janiak A
I Kliniki Chirurgicznej Instytutu Chirurgii A.M. w Lodzi.
Pol Merkur Lekarski. 1998 Mar;4(21):169-73.
Basing on current literature the issues regarding nutrition in patients with septic syndrome and multiple organ failure were discussed. It was emphasised that patient feeding along with providing metabolic substrates also serves as a treatment method. Diet ingredients in specific carbohydrate, protein and fat metabolism disorders were analysed. We focused upon the role of emulsion of fat, especially medium chain triglycerides (MCT) and -3-linolenic acid (fish oil). The unique role o f glutamine, arginine and branched chain amino acids (BCA) was highlighted. Patient nutrition with accordance to the presented new methods has become an efficient routine of treatment in septic syndrome. It may constitute an efficient prophylaxis against multiple organ failure.
基于当前文献，讨论了脓毒症综合征和多器官功能衰竭患者的营养问题。强调患者喂养除了提供代谢底物外，也是一种治疗方法。分析了特定碳水化合物、蛋白质和脂肪代谢紊乱时的饮食成分。我们重点关注脂肪乳剂的作用，尤其是中链甘油三酯（MCT）和ω-3-亚麻酸（鱼油）。突出了谷氨酰胺、精氨酸和支链氨基酸（BCA）的独特作用。按照所提出的新方法进行患者营养支持已成为脓毒症综合征治疗的有效常规手段。它可能构成预防多器官功能衰竭的有效措施。
