Yang Min, Zheng Yao, Wang Min
The Second Department of Intensive Care Unit, the Second Hospital of Anhui Medical University, Hefei 230601, Anhui, China.
The Laboratory of Cardiopulmonary Resuscitation and Critical Care Medicine, the Second Hospital of Anhui Medical University, Hefei 230601, Anhui, China. Corresponding author: Yang Min, Email:
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2019 Jun;31(6):669-673. doi: 10.3760/cma.j.issn.2095-4352.2019.06.002.
Great progress of critical illness-related corticosteroid insufficiency (CIRCI) has been made in diagnosis and treatment, but it still has high mortality. Meanwhile, corticosteroids are widely used in critically ill patients. Recently, the Society of Critical Care Medicine (SCCM) and European Society of Intensive Care Medicine (ESICM) published a practice guideline which had updated the diagnosis and management of CIRCI. In order to master and promote the guideline, this article interprets the new guideline to assist Chinese clinicians for better understanding CICRI at a more comprehensive level.
危重症相关皮质类固醇激素缺乏症（CIRCI）在诊断和治疗方面已取得了很大进展，但死亡率仍然很高。与此同时，皮质类固醇激素在危重症患者中广泛使用。最近，危重病医学会（SCCM）和欧洲重症监护医学学会（ESICM）发布了一项实践指南，更新了CIRCI的诊断和管理。为了掌握并推广该指南，本文对新指南进行解读，以协助中国临床医生在更全面的层面更好地理解CICRI。
