Es wird ein diagnostisches Programm zur routinemäβigen Erfassung des Ernährungszustandes im Rahmen der Aufnahmeuntersuchung vorgestellt. Dieses Programm umfaβt anthropometrische Methoden (Körpergewicht, Körpergröβe, Hautfaltendicke über dem Musculus triceps brachii, Armmuskelumfang in Oberarmmitte) und laborchemische Parameter (Kreatininindex, Albumin, Präalbumin, Cholinesterase). Auβerdem wird eine orientierende Untersuchung des Immunstatus mit Hilfe der absoluten Lymphozytenzahl im peripheren Blut und Intrakutantestungen mit Streptokinase-dornase, Mumps-Hauttestantigen und Candidavakzine empfohlen. Dieses Untersuchungsschema erlaubt die Beurteilung der Fettdepots, der Muskel-masse, der Funktionsproteine und der Immunabwehr. Eine adequate Ernährungsbehandlung hat sich an den Ergebnissen dieser Untersuchung zu orientieren. Über Erfahrungen an 168 Patienten mit diesem Untersuchungsprogramm wird berichtet.

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