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1、ARTICLEINPRESSClinicalNutrition(2006)25,210–223http://intl.elsevierhealth.com/journals/clnuESPENGUIDELINESESPENGuidelinesonEnteralNutrition:$Intensivecarea,bcdeK.G.Kreymann,M.M.Berger,N.E.P.Deutz,M.Hiesmayr,P.Jolliet,fghiG.Kazandjiev,G.Nitenberg,G.vandenBerghe,J.
2、Wernerman,$$DGEM:C.Ebner,W.Hartl,C.Heymann,C.SpiesaDepartmentofIntensiveCareMedicine,UniversityHospitalEppendorf,Hamburg,GermanybSoinsIntensifsChirurgicauxetCentredesBrules,CentreHospitalierUniversitaireVaudois(CHUV)-BH08.660,Lausanne,SwitzerlandcDepartmentofSurge
3、ry,MaastrichtUniversity,Maastricht,TheNetherlandsdDepartmentofAnaesthesiologyandIntensiveCare,MedicalUniversityofVienna,Vienna,AustriaeDepartmentofIntensiveCare,UniversityHospitalGeneva,Geneva,SwitzerlandfDepartmentofAnaesthesiologyandIntensiveCare,MilitaryMedical
4、University,Sofia,BulgariagDepartmentofAnaesthesia,IntensiveCareandInfectiousDiseases,InstitutGustave-Roussy,Villejuif,FrancehDepartmentofIntensiveCareMedicine,UniversityHospitalGasthuisberg,Leuven,BelgiumiDepartmentofAnaesthesiologyandIntensiveCareMedicine,Karolins
5、kaUniversityHospital,Huddinge,Stockholm,SwedenReceived20January2006;accepted20January2006KEYWORDSSummaryEnteralnutrition(EN)viatubefeedingis,today,thepreferredwayofGuideline;feedingthecriticallyillpatientandanimportantmeansofcounteractingfortheClinicalpractice;cat
6、abolicstateinducedbyseverediseases.TheseguidelinesareintendedtogiveEvidence-based;evidence-basedrecommendationsfortheuseofENinpatientswhohaveaEnteralnutrition;complicatedcourseduringtheirICUstay,focusingparticularlyonthosewhodevelopTubefeeding;asevereinflammatoryre
7、sponse,i.e.patientswhohavefailureofatleastoneorganOralnutritionalsup-duringtheirICUstay.plements;TheseguidelinesweredevelopedbyaninterdisciplinaryexpertgroupinParenteralnutrition;accordancewithofficiallyacceptedstandardsandarebasedonallrelevantpublica-Immune-modula
8、tingtionssince1985.Theywerediscussedandacceptedinaconsensusconference.nutrition;ENshouldbegiventoallICUpatientswhoarenotexpectedtobetakingafulloraldietw
