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在长期连续置换疗法期间优化严重烧伤患者的营养和新陈代谢:一个病例报告
Haili Shan1, Xiang Cheng2, Yulu Hong3
1Department of Pharmacy, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Frontiers in nutrition
|January 30, 2026
概括
患有广泛严重烧伤和严重急性损伤 (AKI) 的幸存者很少. 这一案例突出显示了95天的连续置换疗法 (CRRT) 和综合营养支持后,成功释放患者.
科学领域:
- 关键护理医学 关键护理医学
- 烧伤外科手术是什么?
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 广泛的严重烧伤 (96% TBSA,80% 三度) 与严重急性损伤 (AKI) 相结合,构成了罕见且复杂的临床挑战.
- 早期启动连续置换疗法 (CRRT) 对于管理严重的AKI烧伤后损伤至关重要.
研究的目的:
- 报告一个独特的病例,尽管患有严重烧伤和长时间的CRRT,但患者的生存和出院.
- 强调个性化营养支持和多学科合作在管理复杂的烧伤AKI病例中的关键作用.
主要方法:
- 实施动态的,个性化的营养支持计划,包括肠道和肠外营养.
- 用生长激素促进伤口愈合和定期间接热量计来监测能源消耗.
- 连续95天的连续置换疗法 (CRRT).
- 通过伤口愈合,临床症状和前白蛋白水平来动态评估营养疗法的疗效.
主要成果:
- 患者经历了严重的烧伤 (96%TBSA) 和严重的AKI,需要95天的CRRT.
- 在长时间的CRRT期间实现了大量的烧伤伤愈合.
- 患者在96日被送往康复中心,大部分伤口已经愈合.
结论:
- 这一案例表明,通过精确的营养策略和多学科护理,在患有广泛烧伤和严重AKI的患者中,可以实现生存和显著的伤口愈合.
- 报告的病例以其大烧伤表面积,延长的CRRT持续时间和复杂的临床过程而闻名,为管理类似关键场景提供了有价值的见解.
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