ID 原文 译文
1127 营养支持 Nutrition Support
1128 重型和危重型新冠肺炎病人在严重应激状态下,存在较高营养风险。 The severe and critically ill COVID-19 patients who are in a state of severe stress are at high nutritional risks.
1129 早期营养评估、胃肠道功能评估、误吸风险评估和及时营养支持对病人的预后很重要。 Early evaluations of nutrition risk, gastrointestinal functions and aspiration risks, and timely enteral nutritional support are important to the patient’s prognosis.
1130 1)首选经口进食:早期开通肠内营养,提供营养支持,滋养肠道,改善肠粘膜屏障及肠道免疫功能,维持肠道微生态。 (1) Oral feeding is preferred. The early intestinal nutrition can provide nutritional support, nourish intestines, improve intestinal mucosal barrier and intestinal immunity, and maintain intestinal microecology.
1131 2)肠内营养路径:重型和危重型患者往往有急性胃肠功能损伤,表现为腹胀腹泻,甚至胃瘫。 (2) Enteral nutrition pathway. Severe and critically ill patients of ten harbor acute gastrointestinal damages, manifested as abdominal distension, diarrhea, and gastroparesis.
1132 对于气管插管病人,建议留置空肠营养管,行幽门后喂养。 For patients with tracheal intubation, intestinal nutrition tube indwelling is recommended for post-pyloric feeding.
1133 3)营养液选择: (3) Selection of nutrient solution.
1134 对于肠道损伤病人建议选择预消化的短肽制剂,便于肠道吸收和利用。 For patients with intestinal damage, predigested short peptide preparations, which are easy for intestinal absorption and utilization, are recommended.
1135 肠道功能较好的病人,可以选择热能较高的整蛋白制剂。 For patients with good intestinal functions, whole-protein preparations with relatively high calories can be selected.
1136 血糖高的患者,考虑选择适合控制血糖的营养制剂。 For hyperglycemia patients, nutritional preparations which are beneficial to glycemic controlling are recommended.