EVALUATION AND MANAGEMENT OF NUTRITIONAL-STATUS BEFORE SURGERY

被引：13

作者：

WOLFE, BM ^{[1
]}

PHILLIPS, GJ ^{[1
]}

HODGES, RE ^{[1
]}

机构：

[1] UNIV CALIF DAVIS, SACRAMENTO MED CTR, DEPT MED, NUTR SECT, SACRAMENTO, CA 95817 USA

来源：

MEDICAL CLINICS OF NORTH AMERICA | 1979年 / 63卷 / 06期

关键词：

D O I：

10.1016/S0025-7125(16)31639-X

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Preoperative evaluation of all patients should include evaluation of nutritional status. Factors of greatest clinical usefulness are nutritional history correlated with the clinical situation, and measures of body height and weight, serum albumin concentration, and muscle mass. Depressed immune function suggested by a lack of skin test reactivity to standard antigens may correlate with the risk of postoperative complications and death, but further studies are required to determine the specific relation of nutrient deficiencies and immune function. Micronutrient deficiencies must be identified and corrected rapidly. Nutritional support in patients with nutritional deficiencies should be started preoperatively either by enteral or intravenous techniques and continued postoperatively.

引用

页码：1257 / 1269

页数：13

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