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脓毒症合并肾上腺功能不全/相对肾上腺功能不全的糖皮质激素治疗进展

林霖 周荣斌

中国全科医学Issue(21):2594-2598,5.
中国全科医学Issue(21):2594-2598,5.DOI:10.3969/j.issn.1007-9572.2015.21.022

脓毒症合并肾上腺功能不全/相对肾上腺功能不全的糖皮质激素治疗进展

Progress in the Treatment of Sepsis Complicated With Adrenal Insufficiency or Relative Adrenal Insufficiency by Glucocorticoids

林霖 1周荣斌2

作者信息

  • 1. 100000北京市,中国人民解放军北京军区总医院急诊科
  • 2. 安徽医科大学研究生学院
  • 折叠

摘要

Abstract

Adrenal insufficiency is a common complication in patients with sepsis in recent years of Beijing PLA, andrelative adrenal insufficiency may also occur.It may lead to the reduction of plasma cortisol level and high mortality in patients.But in the researches of recent years, there is a lack of deeper understanding about adrenal insufficiency, and there is no unified diagnostic criterion.This paper introduced the epidemiology, pathogenesis, main diagnostic criteria and treatment intervention of sepsis complicated with adrenal insufficiency.It was indicated that glucocorticoids could improve prognosis by raising the plasma cortisol level in patients with sepsis complicated with AI/RAI.

关键词

脓毒症/肾上腺功能不全/糖皮质激素类

Key words

Sepsis/Adrenal insufficiency/Glucocorticoids

分类

医药卫生

引用本文复制引用

林霖,周荣斌..脓毒症合并肾上腺功能不全/相对肾上腺功能不全的糖皮质激素治疗进展[J].中国全科医学,2015,(21):2594-2598,5.

基金项目

首都医学发展基金联合攻关课题 ()

中国全科医学

OA北大核心CSCDCSTPCD

1007-9572

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