Hormones in the critically ill patient: to intervene or not to intervene?

被引：25

作者：

Ligtenberg, JJM

Girbes, ARJ

Beentjes, JAM

Tulleken, JE

van der Werf, TS

Zijlstra, JG

机构：

[1] Univ Groningen Hosp, Dept Internal Med, Intens & Resp Care Unit ICB, NL-9700 RB Groningen, Netherlands

[2] Ny Smellinghe Hosp, Dept Internal Med, Drachten, Netherlands

[3] Free Univ Amsterdam Hosp, Surg Intens Care Unit, Amsterdam, Netherlands

来源：

INTENSIVE CARE MEDICINE | 2001年 / 27卷 / 10期

关键词：

critical illness; thyroid hormones; growth hormone; prolactin; cortisol; synacthen; relative adrenal insufficiency syndrome; insulin resistance; norepinephrine; intensive care;

D O I：

10.1007/s001340101050

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Critically ill patients show a variety of hormonal changes that appear to differ considerably in acute and prolonged critical illness. Whether these endocrine alterations serve as physiological adaptation or contribute to further deterioration remains an intriguing question. We review the recent literature and discuss whether measuring circulating hormone concentrations, performing stimulation tests, and intervening with hormone substitution could contribute to the recovery of critically ill patients.

引用

收藏

页码：1567 / 1577

页数：11

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