[Is the substitution of zinc and copper in parenterally fed polytraumatized patients needed? Analysis of 34 patients].
Total parenteral nutrition (TPN) is rarely accompanied by deficiency of copper and then only after a very long period. Therefore, the authors do not consider it necessary to substitute copper in trauma patients in the intensive care unit. Zinc is an important component of numerous vital enzyme systems, but there are very few cases which demand substitution of zinc deficiency. A low serum zinc level may result from many acute and chronic conditions without necessarily being the consequence of a real zinc deficiency. Hence the authors do not consider prophylactic administration of zinc in every case as appropriate for adult trauma patients, unless clear clinical findings indicate a test with zinc. The various zinc toxicity symptoms are described.
D000328:Adult; D003300:Copper / Q000008:administration & dosage* / Q000097:blood / Q000172:deficiency; D005260:Female; D006801:Humans; D008297:Male; D010288:Parenteral Nutrition; D014947:Wounds and Injuries / Q000628:therapy*; D015032:Zinc / Q000008:administration & dosage* / Q000097:blood / Q000172:deficiency
D003300:Copper; D015032:Zinc
Ist die Substitution von Zink und Kupfer bei parenteral ernährten polytraumatisierten Patienten notwendig? Eine Analyse von 34 Patienten.