期刊文献+

危重患者强化胰岛素治疗应用进展 被引量:3

下载PDF
导出
摘要 ICU危重患者常伴应激性高血糖是ICU普遍存在的一种临床现象,这种急性一时性的高血糖可产生有害的病理生理效应,并成为一独立直接影响各类重症患者的预后。但根据Mesotten D等的胰岛素强化治疗试验的结果[1],当血糖含量≥6.1mmol/L时可诊断为应激性高糖。
作者 马旅明
出处 《吉林医学》 CAS 2011年第28期6004-6005,共2页 Jilin Medical Journal
  • 相关文献

参考文献15

  • 1Mesotten D,van den Berghe G.Clinical potential of insulin therapy in critically ill patients[J].Drugs,2003,63(7):625.
  • 2Van den Berghe G,Wouters P,Weekers F,et al.Intensive insulin therapy in critically ill patients[J].N Engl J Med,2001,345(19):1359.
  • 3Marik PE,Raghavan M.Stress-hyperglycemia,insulin and immu-nomodulation in sepsis[J].Intensive Care Med,2004,30 (5):748.
  • 4Rovlias A,Kotsou S.The influence of hyperglycemia on neurologi-cal outcome in patientswith severe head injury[J].Neurosurgery,2000,46(2):335.
  • 5Laird AM,Miller PR,Kilgo PD,et al.Relationship of early hyper-glycemia to mortality in trauma patients[J].J Trauma,2004,56(5):1058.
  • 6Bochicchio GV,Sung J,Joshi M,et al.Persistent hyperglycemia ispredictive of outcome in critically ill trauma patients[J].J Trau-ma,2005,58(5):921.
  • 7Capes SE,Hunt D,Malmberg K,et al.Stress hyperglycaemia and increased risk of death after myocardial infarction in patients with and without diabetes:a systematic overview[J].Lancet,2000,355 (9206):773.
  • 8McCowen KC,Malhotra A,Bistrian BR.Stress-induced hyperglycemia[J].Crit Care Clin,2001,17(1):107.
  • 9Marik PE,Raghavan M.Stns-hyperglycemia,insulin and immunomodulation in sepsis[J].Intensive Care Med,2004,30 (5):748.
  • 10Meszaros K,Lang CH,Bagby GJ,et al.Contribution of different organs to increased glucose consumption after endotoxin administration[J].J BiolChem,1987,262(23):10965.

同被引文献23

  • 1Sala F,Menna G, Bricolo A, et al. Role of ^ycemia in acute spinalcord injury. Data from a rat experimental model and clinicalexperience. Ann N Y Acad Sci, 1999,890: 133-154.
  • 2Vespa P, McArthur DL, Stein N, et al. Tight glycemic controlincreases metabolic distress in traumatic brain injury: arandomized controlled within-subjects trial. Crit Care Med,2012,40(6):1923-1929.
  • 3Mesotten D,van den Berghe G.Clinical potential of insulin therapy in critically ill patients[J].Drugs,2003,63(7):625-636.
  • 4Waeschle RM,Moerer O,Hilgers R,et al.The impact of the severity of sepsis on the risk of hypoglycaemia and glycaemic variability[J].Crit Care,2008,12(5):R129.
  • 5Van den Berghe G,Wilmer A,Hermans G.Intensive insulin therapy in the medical ICU[J].N Engl J Med,2006,354(5):449-461.
  • 6Kuppinger D,Hartl WH.In search of the perfect gulucose concentration for hospitalized patients:A brief review of the mata-analyses[J].Nutrition,2013,29(5):708-712.
  • 7Pieoni L,Quagliaro L,Da Ros R,et al.Intermittent high glucose enhances ICAM-1,VCAM-1,E-selectin and imedeukin-6 expression in human umbilical endothelial cells in culture:the role of poly(ADP-ribose)polymerase[J].J Thromb Haemost,2004,2(8):1453-1459.
  • 8武海玲.探究不同胰岛素给药方法对糖尿病治疗的疗效差异[J].医学信息,2013,(14).
  • 9李艳辉,段晓琴,李丹,胡家昌,李俊峰.急性有机磷农药中毒患者血糖水平与脏器损伤病情严重程度及预后的相关性研究[J].中国急救医学,2008,28(3):197-200. 被引量:15
  • 10闫波,姜正伟,王连馥,李东君,薛峥,林财威.752例急危重症患者的血糖与病情严重程度的临床研究[J].中国急救医学,2008,28(7):608-609. 被引量:12

引证文献3

二级引证文献17

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部