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Ernährung und Stoffwechsel bei SIRS und Sepsis

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Praxishandbuch klinische Ernährung und Infusionstherapie

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Zusammenfassung

Trotz erheblicher Fortschritte in der Intensivmedizin ist das Versagen eines oder mehrerer Organe (Multiorganversagen) mit einer hohen Mortalität verbunden. Dem Versagen vitaler Organe nach schweren Verletzungen, Schock, Verbrennungen und Immunsuppression geht regelmäßig eine generalisierte Entzündungsreaktion voraus, die auf infektiöse (Sepsis) oder nichtinfektiöse Ursachen zurückgeführt werden kann. Die hämodynamischen Auswirkungen bei Schock führen im Gastrointestinaltrakt zu einer Beeinträchtigung der intestinalen Durchblutung, in deren Folge eine Störung der intestinalen Barrierefunktion entsteht, die zur Invasion von Bakterien und Toxinen aus dem Darmlumen in den Blutkreislauf führt.

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Authors
  1. J. Stein
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Editors and Affiliations

  1. Medizinische Klinik II, Zentrum der Inneren Medizin Gastroenterologie/Klinische Ernährung, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Deutschland

    J. Stein

  2. Chirurgische Klinik mit Poliklinik der LMU München-Großhadern, Marchioninistraße 15, 81377, München, Deutschland

    K.-W. Jauch

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© 2003 Springer-Verlag Berlin Heidelberg

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Stein, J. (2003). Ernährung und Stoffwechsel bei SIRS und Sepsis. In: Stein, J., Jauch, KW. (eds) Praxishandbuch klinische Ernährung und Infusionstherapie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-55896-2_35

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  • DOI: https://doi.org/10.1007/978-3-642-55896-2_35

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-62625-8

  • Online ISBN: 978-3-642-55896-2

  • eBook Packages: Springer Book Archive

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