Brenner Zara R, Miller Arleen B, Ayers Lynn C, Roberts Ashlie
Care Management, Rochester General Hospital, 1425 Portland Avenue, Rochester, NY 14621, USA.
Crit Care Nurs Clin North Am. 2012 Dec;24(4):527-40. doi: 10.1016/j.ccell.2012.07.009.
The role of vitamin D in critical illness is under investigation. Recent data indicate declining levels of serum vitamin D in multiple adult populations. Deficiencies have been strongly linked to infectious processes and certain chronic disorders. Vitamin D deficiency that is present at the onset of critical illness may impact the severity of illness and contribute to less-than-optimal outcomes. This article describes the function of vitamin D, the effects that deficiencies have on body systems, and the emerging role of vitamin D deficiency for critically ill patients.
维生素D在危重症中的作用正在研究中。近期数据表明,多个成年人群的血清维生素D水平在下降。维生素D缺乏与感染过程和某些慢性疾病密切相关。危重症发病时就存在的维生素D缺乏可能会影响疾病的严重程度,并导致预后欠佳。本文描述了维生素D的功能、缺乏对身体系统的影响以及维生素D缺乏在危重症患者中的新作用。