糖皮质激素在治疗感染性休克中的应用

The applicatioin of glucosteroid in septic shock

感染性休克病死率较高。作为感染性休克的辅助治疗,糖皮质激素在感染性休克患者中广泛使用,但其适用人群、使用时间、剂量、疗程一直存在争议。近年来大规模临床试验推荐在感染性休克中使用小剂量糖皮质激素。本文将对近年来糖皮质激素在感染性休克中应用的研究做一综述。

The mortality of septic shock has been reported high. Glucosteroid is widely used in patients with septic shock as one of the assistant therapies of septic shock. However the applied patients, the using time, the duration and the dose of glucosteroid remain controversial. Recently it is recommended using small dose in septic shock according to results of large scale clinical trials. We will review the studies of glucosteroid in septic shock in recent years here.