Correction of protein-energy metabolism in elderly patients with acute intestinal obstruction and hepatorenal dysfunction
Kostiuchenko, M.V.
Eksperimental'naia i Klinicheskaia Gastroenterologiia 2011(3): 88-92
2011
ISSN/ISBN: 1682-8658 PMID: 21698813 Document Number: 652605
Infringements of a protein-energetic metabolism in hepatorenal complications are an actual problem in urgent surgery. 358 patients with a acute surgical pathology of intestines were analysed, in 27.4% of patients infringements of functions of a liver and kidneys were revealed, necessity for normalization of the protein-energetic metabolism was noted in 47-70% of cases. As a result the scheme for protein-energetic metabolism correction was specified in depending of a kind of intestinal impassability and a degree of severity of surgical disease. The early correction of a protein-energetic metabolism in complex with the extracorporeal support methods of a detoxication has provided the expressed positive clinical effect.