THE ENDOCRINE RESPONSE TO CRITICAL ILLNESS

被引:62
作者
ROLIH, CA
OBER, KP
机构
[1] Section on Endocrinology/Metabolism, Department of Internal Medicine, Bowman Gray School of Medicine, Winston-Salem, NC 27157, Medical Center Boulevard
关键词
D O I
10.1016/S0025-7125(16)30093-1
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Since the maintenance of homeostasis is the main function of the endocrine system, it is not surprising that numerous alterations in hormone secretion and action occur during physiologic stress. In general, the endocrine response to stress is paradigmatic and correlates with the severity of illness. However, individuals may differ in their pattern of hormonal changes. The challenge to clinicians is to determine whether seemingly abnormal hormone measurements in critically ill patients reflect an appropriate response to severe illness or whether they signal a metabolic disorder that causes or contributes to the patient's unstable status.
引用
收藏
页码:211 / 224
页数:14
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