危重病人营养支持危重病人营养支持选择的循症基础选择的循症基础中华首都医科大学附属北京同仁医院ICU2006,10.1111WHYWHY2222WHOWHO3333WHENWHEN4444WHATWHATNutritionsupportinICUNutritionsupportinICU--consideringabout“Ws”consideringabout“Ws”3333WHEREWHEREMalnutritionMalnutritionHospitalmalnutritionisthemostcommondiseaseinthehospitalsetting(>10%住院病人,外科病人可达~43%,老年病人30~65%),危重症?免疫机能受损呼吸驱动力受损和呼吸肌无力,并导致呼吸机长期依赖WHY&WHOWHY&WHOWHY&WHOWHY&WHOItisrelatedtoincreased:Itisrelatedtoincreased:增加感染性并发症的发生率增加死亡率延长住院时间(LOS)增加医疗费用(Costs)MalnutritioninICUMalnutritioninICUWHY&WHOW...