摘要
危重症相关性肾上腺皮质功能不全(CIRCI)的诊断和治疗已取得了一定进展,但其病死率仍较高,加之糖皮质激素在危重患者中应用广泛.美国危重病医学会/欧洲危重病医学会(SCCM/ESICM)于2017年发布了CIRCI最新实践指南,更新了CIRCI的诊断和处理建议.为借鉴和推广该指南,本文对其重点内容进行解读,以帮助国内医生更好地学习指南.
Great progress of critical illness-related corticosteroid insufficiency (CIRCI) has been made in diagnosis and treatment, but it still has high mortality. Meanwhile, corticosteroids are widely used in critically ill patients. Recently, the Society of Critical Care Medicine (SCCM) and European Society of Intensive Care Medicine (ESICM) published a practice guideline which had updated the diagnosis and management of CIRCI. In order to master and promote the guideline, this article interprets the new guideline to assist Chinese clinicians for better understanding CICRI at a more comprehensive level.
作者
杨旻
郑瑶
王敏
Yang Min;Zheng Yao;Wang Min(The Second Department of Intensive Care Unit, the Second Hospital of Anhui Medical University, Hefei 230601, Anhui, China;The Laboratory of Cardiopulmonary Resuscitation and Critical Care Medicine, the Second Hospital of Anhui Medical University, Hefei 230601, Anhui, China)
出处
《中华危重病急救医学》
CAS
CSCD
北大核心
2019年第6期669-673,共5页
Chinese Critical Care Medicine
基金
安徽省自然科学基金(1608085MH195).
关键词
危重症相关性肾上腺皮质功能不全
下丘脑-垂体-肾上腺轴
临床实践指南
指南解读
Critical illness-related corticosteroid insufficiency
Hypothalamic-pituitary-adrenal axis
Clinical practice guideline
Guideline interpretation
