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Substitution of exudative trace element losses in burned children 英文参考文献
Stucki et al. Critical Care 2010, 14:439
/content/14/4/439
LET TER
Substitution of exudative trace element losses in
burned children
Pascal Stucki , Marie-Hélène Perez , Jacques Cotting , Alan Shenkin and Mette M Berger *
1 1 1 2 3
We describe an intravenous copper-selenium-zinc Table 1. Composition of the antioxidant micronutrient
substitution policy in children with major burns using solutions used in the adult ICU
adult doses adapted to total body surface area. Blood
levels and clinical course con? rm its safety, with a rapidly
favourable clinical evolution.
Intravenous
CHUV-TE-? ex
(250 ml)
Enteral antioxidant
glutamine solution
(500 ml; Intestamine?)
Micronutrient
Copper (mg)
Major burn injuries are associated with trace element
de? ciencies, which lead to impaired wound healing and
infectious complications. Low plasma levels of zinc (Zn)
and copper (Cu) are inadequately compensated for
during hospitalization [1], and enteral supplements are
unsuccessful in correcting the status [2]. Additionally,
there are currently no clear recommendations regarding
3.75
375
37.5
1,200
-
-
Selenium (μg)
Zinc (mg)
300
30
-
Phosphate (mg)
Vitamin E (mg)
Vitamin C (mg)
Beta-carotene (mg)
Glutamine (g)
500
150
10
30
-
trace element requirements in childr
e aim of the
-
present study was to determine if our trace element
supplementation policy for adults adapted to total body
-
surface area would achieve normalization of plasma TE, trace elements: copper gluconate, sodium selenite solution, and zinc
gluconate (Laboratoires Aguettant, Lyon, France), plus a multi-trace element
preparation (Decan?, Aguettant). Intestamin?, Fresenius Kabi AG, Stans,
co
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