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10例外科患者7天输液治疗期间碳水化合物和电解质平衡的研究(作者译)

[A study of the carbohydrate and electrolyte balance of 10 surgical patients during 7-days' infusion therapy (author's transl)].

作者信息

Georgieff M, Georgieff E M, Osswald P, Schaub P, Lutz H

出版信息

Prakt Anaesth. 1978 Aug;13(4):292-302.

PMID:99736
Abstract

For postoperative parenteral feeding fructose proved preferable to glucose and xylitol. Although the infusions were started pre-operatively sodium deficiency and a fall in serum osmolarity developed during the postoperative stage. Administration of potassium to normalize lowered serum potassium levels was needed only on the first and second postoperative day. Serum calcium levels fell during the 7-days' period of observation but remained within the limits of normal. If parenteral feeding is to be continued for longer periods determination of the phosphorus balance is advisable to avoid excessive depletion of the endogenous phosphorus stores. Estimations of urinary osmolarity and urine volume indicated that fluid uptake was adequate.

摘要

对于术后肠外营养,果糖被证明比葡萄糖和木糖醇更可取。尽管术前就开始输注,但术后仍出现了钠缺乏和血清渗透压下降的情况。仅在术后第一天和第二天需要补充钾来使降低的血清钾水平恢复正常。在7天的观察期内血清钙水平下降,但仍在正常范围内。如果要继续进行较长时间的肠外营养,建议测定磷平衡以避免内源性磷储备过度消耗。对尿渗透压和尿量的估计表明液体摄入量充足。

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