Terapia médico-nutricional en pacientes politraumatizados: una carrera contra el tiempo.

IF 0.5 4区 医学 Q4 SURGERY Cirugia Y Cirujanos Pub Date : 2023-01-01 DOI:10.24875/CIRU.220001901
María F Padilla-Rubio, Miguel Robledo-Valdez, Miguel Morante-Ruiz, Andrea Pérez de Acha-Chávez, Gabino Cervantes-Guevara, Guillermo A Cervantes-Cardona, Sol Ramírez-Ochoa, Gabino Cervantes-Pérez, Alejandro González-Ojeda, Clotilde Fuentes-Orozco, Eduardo Gómez-Sánchez, Enrique Cervantes-Pérez
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Abstract

A polytraumatized patient is defined as one who has multiple lesions involving different organs and systems, which are usually serious and lead to life-threatening respiratory or circulatory dysfunction. Traumatic stress in the polytraumatized patient results in many metabolic changes that are evident from the first days, but usually persist for weeks, requiring adequate nutritional support as they influence outcomes. Nutritional treatment should be a priority in the comprehensive treatment of polytraumatized patients since it attenuates the metabolic response to trauma and prevents the deterioration of body reserves. It should be noted that some patients present previous nutritional risk. Nutritional intervention should be considered at the same level as any other therapy that supports organic functions, especially in patients in the intensive care unit. Nutritional intervention in polytraumatized patients is a pillar of treatment that has multiple benefits and can improve prognosis. All efforts must be aimed at the early detection of malnourished patients at nutritional risk and providing timely therapies that improve clinical outcomes.

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多重创伤患者的医学营养治疗:与时间的赛跑。
多重创伤患者被定义为有涉及不同器官和系统的多重病变的患者,这些病变通常很严重,并导致危及生命的呼吸或循环功能障碍。多创伤患者的创伤应激导致许多代谢变化,这些变化在第一天就很明显,但通常会持续数周,需要足够的营养支持,因为它们会影响结果。营养治疗应该是综合治疗多创伤患者的优先考虑,因为它可以减轻对创伤的代谢反应,防止身体储备的恶化。需要注意的是,有些患者以前存在营养风险。营养干预应与任何其他支持器官功能的治疗同等重视,特别是对重症监护病房的患者。对多重创伤患者进行营养干预是治疗的一个支柱,具有多重益处,可以改善预后。所有努力的目标必须是早期发现有营养风险的营养不良患者,并及时提供改善临床结果的治疗。
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来源期刊
Cirugia Y Cirujanos
Cirugia Y Cirujanos 医学-外科
CiteScore
0.90
自引率
20.00%
发文量
207
审稿时长
6-12 weeks
期刊介绍: Cirugía y Cirujanoses exponente del desarrollo académico, científico, médico, quirúrgico y tecnológico en materia de salud en México y en el ámbito internacional. Es una revista bimestral, open access, revisada por pares, que publica en español y en inglés (traducido sin coste para los autores) artículos científicos originales, casos clínicos, artículos de revisión de interés general y cartas al editor. Los artículos se seleccionan y publican siguiendo un riguroso análisis, de acuerdo con los estándares internacionalmente aceptados. Sus espacios están abiertos a los académicos, así como a todo miembro de la comunidad médica que manifieste interés por utilizar este foro para publicar sus trabajos.
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