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  • Title: [Correction of protein-energy metabolism in hepatorenal failure in surgical patients].
    Author: Dibirov MD, Kostiuchenko MV.
    Journal: Eksp Klin Gastroenterol; 2009; (6):77-81. PubMed ID: 20205324.
    Abstract:
    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 analyzed, 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.
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