[Assessment of the parameters of protein-energy deficiency in surgical patients with extensive purulent soft tissue wounds].

The paper considers criteria for evaluating postoperative protein-energy deficiency (PED) in surgical patients with extensive purulent soft tissue wounds (PSTW) of the extremities and torso. The authors have evaluated the clinical significance of somatometric indices (height (cm), weight (kg), arm circumference (cm), skinfold thickness above the triangularis, body mass index) and biochemical markers of PED (total protein (g/l), albumin (g/l), transferrin (g/l), absolute lymphocyte count (ALC). At the early stages of the disease (3-5 days after injury or infection), plasma transferrin concentrations and ALC significantly reduced, which is characteristic of moderate and severe PED. At the same time, the somatic protein pool was virtually unchanged, as shown by the anthropometric characteristics. The authors conclude that in all the patients with PED, primary PED is associated with the visceral protein pool changes by the type of kwashiorkor (malignant malnutrition). Early supplementary formula feeding is required and advisable.