Characteristics of the Medical Nutrition of the Polytraumatized Patients in Presence of Obesity

IF 0.3 Q4 REHABILITATION Acta Balneologica Pub Date : 2022-01-01 DOI:10.36740/abal202201112
O. Chemerys, S. D. Khimich
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Abstract

Aim: To determine the characteristics of the Medical Nutrition of the Polytraumatized Patients in presence of obesity. Materials and Methods: The clinical material is represented by 42 polytraumatized patients hospitalized at the Department of Surgery of the Municipal Non-Profit Organization ”8th Municipal Clinical Hospital of Lviv”. Results: The posttraumatic catabolic condition requires the energy balance with the early substitution of protein and hypercaloric nutrition. The patients with obesity in the presence of massive severe injuries not receiving the necessary nutrition within the first days after the trauma may develop the cumulative deficit of calories and proteins that conditions the development of the severest complications related to the repeated infecting, and, consequently, the multiple organ dysfunction. The early enteral nutrition for the injured patients with obesity demonstrated a convincing positive result in the form of the prevention of infectious diseases and, correspondingly, improved the results and period of treatment. Conclusions: The patients with obesity in the presence of massive severe injuries not receiving the necessary nutrition within the first days after the trauma may develop the cumulative deficit of calories and proteins that conditions the development of the severest complications related to the repeated infecting, and, consequently, the multiple organ dysfunction,
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肥胖多发创伤患者的医学营养特点
目的:了解多发创伤合并肥胖患者的医学营养特点。材料与方法:临床材料以市立非营利组织“利沃夫第八市立临床医院”外科住院的42例多发创伤患者为代表。结果:创伤后分解代谢需要能量平衡,早期替代蛋白质和高热量营养。严重创伤的肥胖患者在创伤后的第一天内没有得到必要的营养,可能会导致热量和蛋白质的累积不足,从而导致与反复感染相关的最严重并发症的发展,从而导致多器官功能障碍。对受伤的肥胖患者进行早期肠内营养,在预防传染病方面取得了令人信服的积极效果,并相应地改善了治疗效果和治疗期限。结论:严重外伤的肥胖患者如果在外伤后的第一天内没有得到必要的营养,可能会出现热量和蛋白质的累积不足,从而导致与反复感染相关的最严重并发症的发生,从而导致多器官功能障碍。
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来源期刊
Acta Balneologica
Acta Balneologica REHABILITATION-
自引率
66.70%
发文量
58
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