According to the Nutrition Risk Screening 2002, with a total score of ≥ 3 points, the patient was categorized as high nutritional risk and required early nutritional support as follows: 1 severe multiple injuries and traumatic shock (intestinal rupture, right hemopneumothorax and traumatic wet lung, and pelvic fracture) 1 score; 2 major abdominal surgery 2 scores; 3 intestinal fistula, sepsis, intensive care patients (APACHE > 10 scores) 3 scores; 4 within 1 month (weight loss > 5%, serum albumin < 35 g/L) 3 scores; total score was 9 scores. The gene discussed is ALB; the disease is intestinal disorder.