[10例手术患者输注治疗7 d期间碳水化合物和电解质平衡的研究[作者译]。

M Georgieff, E M Georgieff, P Osswald, P Schaub, H Lutz
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引用次数: 0

摘要

术后肠外喂养果糖优于葡萄糖和木糖醇。虽然在术前开始输注,但在术后阶段出现了钠缺乏和血清渗透压下降。仅在术后第一天和第二天需要给予钾以使降低的血钾水平正常化。血清钙水平在观察7 d期间有所下降,但仍保持在正常范围内。如果肠外喂养要持续较长时间,则建议测定磷平衡,以避免内源性磷储存的过度消耗。尿渗透压和尿量的估计表明液体摄取是足够的。
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[A study of the carbohydrate and electrolyte balance of 10 surgical patients during 7-days' infusion therapy (author's transl)].

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.

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[Utilization of maltose during shorttime parenteral nutrition (author's transl)]. [Influences of different anaesthetic techniques on serum levels of hepatic enzymes and of bilirubin (author's transl)]. [The effects of "atraumatic" surgery in halothane anaesthesia and neurolept analgesia on the liver enzyme pattern (author's transl)]. [A new practice system for heart-lung resuscitation (Dräger-Laerdal]. [Investigation on the postoperative behavior of plasma amino acids in metabolically healthy patients. 1st communication (author's transl)].
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