创伤代谢反应及动力营养支持

Metabolic response and dynamic nutrition support after trauma

创伤，包括烧伤，是临床常见危重急诊，也是中青年患者的首要死亡原因。营养支持是创伤综合治疗的重要组成部分，本文针对创伤代谢反应及营养支持加以叙述。

Trauma can induce a series of dynamic meta- bolic responses with different characteristics in three stages, in- cluding ebb phase, flow phase, and recovery phase. Nutrition support after trauma should be dynamically adjusted according to metabolic response and its individual phase, focusing on energy balance as well as metabolic modulation, adjusting immunologi- cal response to trauma by reduction of the exaggerated cytokines production, maintaining body protein balance, and enhancing wound healing.