抄録
In the early postoperative intravenous hyperalimentation (IVH), there are some problems such as the period of surgical diabetes and infusion of fat emulsion. We studied the period of suryical diabetes and the effectiveness of the infusion of fat emulsion from the early postoperative period. 15 infants were divided into three groups. Each group received total calories of 86Cal/kg/day with 2g/kg/day of amino acids. In Group I; fat was not given, In Group II; fat was infused in the amount of 10% of total calories and in Group III; 20% of total calories. Maximum blood sugar (BS) level immediately after operation was about 200mg/dl in each group, but BS level decreased within the normal range by 6 hours after operation. IRI had maximum level at 3 hours after operation and decreased at 6 hours after operation. The change of C-peptide was almost parallel to IRI. The duration of surgical diabetes in infants was, therefore, assumed for 6 hours after operation. One day after operation, BS level of Group land II were slightly high but in Group III BS level was within the normal range. 0n the 3,5, 7th day after operation BS level was within the normal range but in Group III BS level was most stable. Therefore, infusion of fat emulsion in the amount of 20% of total caloriesis efficient with respect to carbohydrate metabolism. In all groups no liver dysfunction was noted.
