Kolesnikova G S, Mordkovich M R
Probl Endokrinol (Mosk). 1981 Mar-Apr;27(2):35-9.
The blood corticosteroid levels of patients with severe burns were studied at different periods of the disease (burn shock, acute burn toxemia, septicotoxemia). The mean daily blood corticosteroid content in the burnt patients was increased. The most pronounced corticosteroid concentration increase (112.6 +/- 21.7 micrograms %) was seen in patients during burn shock. In toxemia and initial septicotoxemia, the corticosteroid concentration slightly decreased (41.7 +/- 7.1 and 49.4 +/- 5.4 micrograms %, respectively). The blood corticosteroid level abruptly fell to the lower limits of normal in patients during septicotoxemia, complicated with burn exhaustion. Deviations in the blood corticosteroid concentration of the burnt patients within 24 hours significantly differed from the normal circadian rhythm of the blood hormone release.
对重度烧伤患者在疾病的不同阶段(烧伤休克、急性烧伤毒血症、败血症毒血症)的血液皮质类固醇水平进行了研究。烧伤患者血液中皮质类固醇的日均含量增加。在烧伤休克期间,患者体内皮质类固醇浓度升高最为显著(112.6±21.7微克%)。在毒血症和初期败血症毒血症阶段,皮质类固醇浓度略有下降(分别为41.7±7.1微克%和49.4±5.4微克%)。在并发烧伤衰竭的败血症毒血症患者中,血液皮质类固醇水平急剧降至正常下限。烧伤患者血液皮质类固醇浓度在24小时内的变化与血液激素释放的正常昼夜节律显著不同。