围手术期类固醇补充剂的合理方案及需求的临床评估。
A rational regimen for perioperative steroid supplements and a clinical assessment of the requirement.
作者信息
Lloyd E L
出版信息
Ann R Coll Surg Engl. 1981 Jan;63(1):54-7.
Abstract
Sixty-one patients with rheumatoid arthritis on long-term corticosteroid treatment were managed for 107 orthopaedic procedures using a flexible method of supplementary steroid cover. It was found that the amount actually required was surprisingly small and in 78% of the operations no postoperative supplements were given. There were no consistent factors which would predict a requirement for supplementary steroids in any particular individual.
摘要
61名长期接受皮质类固醇治疗的类风湿性关节炎患者接受了107例骨科手术，采用灵活的补充类固醇覆盖方法进行管理。结果发现，实际所需的量出奇地少，78%的手术术后未给予补充剂。没有一致的因素可以预测任何特定个体对补充类固醇的需求。
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本文引用的文献
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Corticosteroid treatment and surgery. 1. An investigation of the indications for steroid cover.皮质类固醇治疗与手术。1. 类固醇覆盖指征的研究。
Anaesthesia. 1969 Jan;24(1):3-11. doi: 10.1111/j.1365-2044.1969.tb02798.x.
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Corticosteroid treatment and surgery. 2. The management of steroid cover.皮质类固醇治疗与手术。2. 类固醇覆盖的管理。
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Hazards of steroids in association with anaesthesia.类固醇与麻醉相关的危害。
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Plasma catecholamine concentrations during surgery in unsupplemented glucocorticoid-treated patients.未补充糖皮质激素治疗的患者在手术期间的血浆儿茶酚胺浓度。
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Value of an ACTH test in assessing hypothalamic-pituitary-adrenocortical function in glucocorticoid-treated patients.促肾上腺皮质激素（ACTH）试验在评估糖皮质激素治疗患者下丘脑-垂体-肾上腺皮质功能中的价值
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Perioperative care: preoperative care.围手术期护理：术前护理。
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