创伤与手术结病人营养.pptVIP

背景知识background 创伤(wound):是指机械损伤。Machine hurt. * * * * 第21章 创伤和手术病人的营养治疗 创伤、手术 Wound Operation 负氮平衡 negative nitrogen balance 代谢需求 Metabolic demand 保证手术、创伤后的营养需求，促进机体恢复。 Keep nutrition demand of wound and operation . Promote recovery 1. 严重创伤病人的营养治疗 The nutritional therapy of serious wound 2. 围手术期病人的营养治疗 The nutritional therapy of perioperative period 3. 短肠综合征病人的营养治疗 The nutritional therapy of short bowel syndrome 4. 肠瘘病人的营养治疗 The nutritional therapy of intestinal fistula 严重创伤和大手术的病人，高代谢状态，常伴有免疫功能低下。 Metabolic demand is increased during wound healing and operatio