提高对脓毒性肾上腺皮质功能不全的认识

被引:4
作者
张庆红
姚咏明
盛志勇
机构
[1] 解放军总医院第一附属医院全军烧伤研究所
关键词
D O I
暂无
中图分类号
R686 [筋腱、韧带、滑囊疾病及损伤];
学科分类号
摘要
<正> 脓毒症(sepsis)是指机体存在可疑或已证实的感染,并伴有全身炎症反应的综合征,约占重症监护室(intensive care unit,ICU)死亡原因的40%~50%。大量证据表明,在严重感染所致全身炎症反应过程中,机体下丘脑-垂体-肾上腺轴(hypothalamus-pituitary axis,HPA)、免疫系统和自主神经系统三者之间的平衡遭到破坏,引起肾上腺皮质激素产生减少或作用减弱,称为肾上腺皮质功能相对不全(relative adrenal insufficiency,RAI)。RAI在严重脓毒症的发生率为50%~60%,即使程度很轻,也可致命。国内外对脓毒症RAI的诊断和治疗一直存在
引用
收藏
页码:117 / 119
相关论文
共 4 条
  • [1] Etomidate versus ketamine for rapid sequence intubation in acutely ill patients: a multicentre randomised controlled trial[J] . Patricia Jabre,Xavier Combes,Frederic Lapostolle,Mohamed Dhaouadi,Agnes Ricard-Hibon,Benoit Vivien,Lionel Bertrand,Alexandra Beltramini,Pascale Gamand,Stephane Albizzati,Deborah Perdrizet,Gaelle Lebail,Charlotte Chollet-Xemard,Virginie Maxime,Christian Brun-Buisson,Jean-Yves Lefrant,Pierre-Edouard Bollaert,Bruno Megarbane,Jean-Damien Ricard,Nadia Anguel,Eric Vicaut,Fred
  • [2] Recommendations for the diagnosis and management of corticosteroid insufficiency in critically ill adult patients: Consensus statements from an international task force by the American College of Critical Care Medicine[J] . Paul E. Marik,Stephen M. Pastores,Djillali Annane,G Umberto Meduri,Charles L. Sprung,Wiebke Arlt,Didier Keh,Josef Briegel,Albertus Beishuizen,Ioanna Dimopoulou,Stylianos Tsagarakis,Mervyn Singer,George P. Chrousos,Gary Zaloga,Faran Bokhari,Michael Vogeser.Critical Care Medici
  • [3] Surviving Sepsis Campaign: International guidelines for management of severe sepsis and septic shock: 2008[J] . R Phillip Dellinger,Mitchell M. Levy,Jean M. Carlet,Julian Bion,Margaret M. Parker,Roman Jaeschke,Konrad Reinhart,Derek C. Angus,Christian Brun-Buisson,Richard Beale,Thierry Calandra,Jean-Francois Dhainaut,Herwig Gerlach,Maurene Harvey,John J. Marini,John Marshall,Marco Ranieri,Graham Ramsay,Jonathan Sevransky,B Taylor Thompson,Sean Townsend,Jeffrey S. Vender,Janice L. Zimmerman,Jean-L
  • [4] Corticosteroids in the treatment of severe sepsis and septic shock in adults:a systematic review .2 Annane D,Bellissant E,Bollaert PE,et al. JAMA . 2009