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小儿由于生长发育的需要,新陈代谢比成人旺盛,基础代谢率高,烧伤后需要大量的营养物质摄入,我们在40例小儿较大面积烧伤的治疗中,应用早期口服或置管管饲胃肠道营养,而非以往在伤后予以禁食.此法能很好地保护胃肠功能和有效防治烧伤患儿在伤后出现的早期并发症.1 临床资料1.1 一般资料:本组共40例,男22例,女18例.年龄1～12岁,平均年龄4.7岁,烧伤面积10%1例,11%～20%16例,21～30%10例,31～40%7例,平均面积19.75%.烧伤深度均在Ⅱ°以上,40例中入院时已有休克14例,败血症1例.1.2 治疗经过:入院后即行补液等抗休克治疗,不予禁食,伤后即让患儿少量多次进食如牛奶、鸡蛋、混合奶等或胃管行胃肠道管饲如胃管内持续滴注或少量多次注入安素液、能全素等,要素饮食按蛋白质为2～3g/kg·d~(-1),每日热量需求按30～40kcal/kg计算,在能耐受的情况下,尽可能采用胃肠道营养,辅以适当
Due to the needs of growth and development of children, metabolism than the strong, high basal metabolic rate, burns a lot of nutrients required for the intake of 40 cases of pediatric large area burns, the application of early oral or catheter tube gastrointestinal Road nutrition, rather than in the past to be fasting after injury.This method can well protect the gastrointestinal function and effective prevention and treatment of burns in children with early complications after injury.1 Clinical data 1.1 General information: A total of 40 patients in this group , 22 males and 18 females.Ages range from 1 to 12 years, with an average age of 4.7 years old, with a burn area of 10% in 1 case, 11% to 20% in 16 cases, 21 to 30% in 10 cases and 31 to 40% in 7 cases. Area of 19.75% .The depth of burn in Ⅱ ° above, 40 cases of admission had shock in 14 cases, 1 case of sepsis.1.2 After treatment: after admission, rehydration and other anti-shock treatment, not fasting, A small amount of repeated infants such as milk, eggs, mixed milk or gastric tube gastrointestinal tube feeding tube such as continuous infusion or a small amount of repeated infusion of vegetarian solution, to vegan, etc., the elements of the diet by protein 2 ~ 3g / kg · d ~ (-1), daily calorie demand calculated by 30 ~ 40kcal / kg, in the case of tolerance, as far as possible the use of gastrointestinal nutrition supplemented by when