Hannig Kjartan Eskjær, Poulsen Per Løgstrup, Tønnesen Else Kirstine, Grove Erik Lerkevang
Anæstesiologisk Afdeling, Vejle Sygehus, Denmark.
Ugeskr Laeger. 2012 Dec 10;174(50):3155-9.
Patients on long-term steroid therapy are often given supplementary intravenous glucocorticosteroids during perioperative care. The reason is to minimize the risk of acute adrenal insufficiency, which is a potential life threatening condition. Based on a recent Cochrane review and the available literature on the subject a rational way in dealing with the matter is described.
长期接受类固醇治疗的患者在围手术期护理期间通常会接受补充性静脉注射糖皮质激素。原因是将急性肾上腺功能不全的风险降至最低,这是一种潜在的危及生命的状况。基于最近的Cochrane综述以及关于该主题的现有文献,描述了一种处理该问题的合理方法。