Division of Endocrinology and Metabolism, Department of Internal Medicine, Strelitz Diabetes Institute for Endocrine and Metabolic Disorders, Eastern Virginia Medical School, Norfolk, VA 23510, USA.
Med Clin North Am. 2012 Nov;96(6):1095-105. doi: 10.1016/j.mcna.2012.09.005. Epub 2012 Oct 4.
The authors have reviewed the most recent and relevant literature from which reasonable conclusions may be drawn. This article highlights important endocrine and metabolic changes, and provides possible explanations for observed perturbations. Obviously infectious disease specialists are not charged with the primary responsibility of addressing these issues, which have largely remained the domain of endocrinologists and intensivists. However, infectious disease specialists use a variety of drugs that can contribute to these abnormalities. Therefore, a constant dialogue between specialists would enhance the quality of care and also contribute immensely to favorable outcomes.
作者回顾了最新且相关的文献，从中可以得出合理的结论。本文重点介绍了重要的内分泌和代谢变化，并对观察到的紊乱提供了可能的解释。显然，传染病专家并没有承担解决这些问题的主要责任，这些问题在很大程度上仍然是内分泌学家和重症监护医生的领域。然而，传染病专家使用的各种药物都可能导致这些异常。因此，专家之间的持续对话将提高护理质量，并对良好的结果做出巨大贡献。
