儿科重症监护病房中的内分泌问题。

Endocrine issues in the pediatric intensive care unit.

作者信息

Clark Lowell, Preissig Catherine, Rigby Mark R, Bowyer Frank

机构信息

Mercer University School of Medicine, Macon, GA, USA.

出版信息

Pediatr Clin North Am. 2008 Jun;55(3):805-33, xiii. doi: 10.1016/j.pcl.2008.03.001.

DOI:10.1016/j.pcl.2008.03.001

PMID:18501767

Abstract

This article reviews selected issues of endocrine concerns in the pediatric intensive care unit, exclusive of diabetic ketoacidosis. The sympathoadrenergic arm of the neuroendocrine stress response is described, followed by discussions of two topics of particular current concern: critical illness hyperglycemia and relative adrenal insufficiency. A selected set of common scenarios encountered in the daily practice of intensive care follows.

摘要

本文回顾了儿科重症监护病房中内分泌相关的特定问题，但不包括糖尿病酮症酸中毒。文中描述了神经内分泌应激反应中的交感肾上腺素能分支，随后讨论了当前特别受关注的两个主题：危重症高血糖和相对性肾上腺皮质功能不全。接下来是重症监护日常实践中遇到的一组特定常见情况。