Rothwell P M, Udwadia Z F, Lawler P G
Intensive Therapy Unit, South Cleveland Hospital, Middlesbrough, UK.
Lancet. 1991 Mar 9;337(8741):582-3. doi: 10.1016/0140-6736(91)91641-7.
Corticotropin stimulation tests were used to assess adrenocortical function in 32 patients with septic shock. 13 patients had a poor cortisol response (rise less than 250 nmol/l) to corticotropin, all of whom died. However, there were only 6 deaths among the 19 patients with adequate responses (p less than 0.001). These results suggest that some patients with septic shock may have relative adrenocortical insufficiency.
促肾上腺皮质激素刺激试验用于评估32例感染性休克患者的肾上腺皮质功能。13例患者对促肾上腺皮质激素的皮质醇反应较差（升高幅度小于250 nmol/l），所有这些患者均死亡。然而，在19例反应良好的患者中仅有6例死亡（p<0.001）。这些结果表明，一些感染性休克患者可能存在相对性肾上腺皮质功能不全。
