期刊文献+

重视胰岛素对重症儿童的血糖控制 被引量:4

下载PDF
导出
摘要 危重症患儿高血糖发生率在PICU非常高,其可造成机体内环境紊乱、免疫抑制、感染加重、骨骼肌消耗、肠黏膜萎缩等,继而诱发脏器功能障碍,影响预后,增加病死率。一项回顾性队列研究显示高血糖在危重症儿童的发生率达到86%,高血糖峰值水平及持续时间是PICU死亡率的独立危险因素。
作者 祝益民
出处 《临床小儿外科杂志》 CAS 2014年第3期177-179,187,共4页 Journal of Clinical Pediatric Surgery
  • 相关文献

参考文献31

  • 1Srinivasan V, Spinella PC, Drott HR, et al. Association of timing, duration, and intensity of hyperglycemia with intensive care unit mortality in critically ill children [ J ]. Pediatr Crit Care Med,2004,5 (4) : 329- 336. 被引量:1
  • 2Leite, H. P, de Oliveira Iglesias, S. B. ;Pacheco, J. C, et al. Malnutrition May Worsen the Prognosis of Critically Ill Children With Hyperglycemia and Hypoglycemia [ J ]. JPEN J Parenter Enteral Nutr,2013,37 ( 3 ) :335 -341. 被引量:1
  • 3Kyle UG, Coss Bu JA, Kennedy CE,et al. Organ dysfunction is associated with hyperglycemia in critically ill children [ J ]. Intensive Care Med,2010,36(2) :512-320. 被引量:1
  • 4Preissig CM, Rigby MR. Pediatric critical illness hyperglycemia : risk factors associated with development and severity of hyperglyce-mia in critically ill children[J]. J Pediatr,2009,155(5):734-739. 被引量:1
  • 5刘萍萍,胥志跃,卢秀兰,杨梅雨,祝益民.重症患儿血糖监测与危重度关系的研究[J].中华急诊医学杂志,2012,21(5):478-483. 被引量:10
  • 6Das UN. Current advances in sepsis and septic shock with particular emphasis on the role of insulin [ J ]. Med Sci Monit, 2003,9 (8) :181-192. 被引量:1
  • 7Gauglitz GG,Toliver-Kinsky TE, Williams FN, et al. Insulin increases resistance to burn wound infection-associated sepsis [ J ]. Crit Care Med,2010,38(1) :202-208. 被引量:1
  • 8Dellinger RP, Levy MM, Rhodes A, et al. Surviving sepsis campaign: international guidelines for management of severe sepsis and septic shock[J]. Crit Care Med,2013,41 (2) :580-637. 被引量:1
  • 9Jeschke MG, Klein D, Herndon DN. Insulin treatment improves the systemic inflammatory reaction to severe trauma [ J]. Ann Surg, 2004,239(4) :553-560. 被引量:1
  • 10Jacobi J, Bircher N, Krinsley J, et al. Guidelines for the use of an insulin infusion for the management of hyperglycemia in critically ill patients [ J]. Crit Care Med ,2012,40( 12 ) :3251-3276. 被引量:1

二级参考文献29

共引文献23

同被引文献43

  • 1樊寻梅,武志远.国际儿科脓毒症定义会议介绍[J].中华儿科杂志,2005,43(8):618-620. 被引量:90
  • 2樊寻梅.儿科感染性休克(脓毒性休克)诊疗推荐方案[J].中华儿科杂志,2006,44(8):596-598. 被引量:205
  • 3罗振中,彭树兰,鲁桂芳.胰岛素强化治疗对脓毒症预后及血清炎症介质水平的影响[J].西部医学,2007,19(3):392-394. 被引量:3
  • 4Preissig CM, Rigby MR. Pediatric critical illness hyperglycemia: risk factors associated with development and severity of hyperglycemia in critically ill ehildren[J].J Pediatr,2009,155(5):734-739. 被引量:1
  • 5Jacobi J,Bircher N,Krinsley J,et al.Guidelines for the use of an insulin infusion for the management of hyperglycemia in critically ill patients[J].Crit Care Med,2012,40(12) : 3251-3276. 被引量:1
  • 6Mecowen KC, Malhotra A, Bistrian BR. Stress-induced hyperglycemia[J]. Crit Care Clin,2001,17(1): 107-124. 被引量:1
  • 7Robinson LE, van Soeren MH. Insulin resistance and hyperglycemia in critical illness: role of insulin in glycemiccontrol[J].AACN Clin Issues, 2004,15( 1 ) :45-62. 被引量:1
  • 8Assmann A, Spranger J. Pathaphysiology of impaired insulin sensitivity in the perioperative period [J].Anasthesiol Intensivmed Notfallmed Schmerzther,2011,46 (4) : 250-256. 被引量:1
  • 9Das S,Misra B, Roul L,et al.lnsulin resistance and beta cell function as prognostic indicator in Multi-Organ Dysfunction Syndrome[J].Metab Syndr Relat Disord,2009,7(l) : 47-51. 被引量:1
  • 10Verhoeven J J, den Blinker M, Hokken-Koelega AC, et al. Pathophysiolngical aspects of hyperglycemia in children with meningococcal sepsis and septic shock: a prospective, observational cohort study [J].Critical Care,2011,15(1):44. 被引量:1

引证文献4

二级引证文献15

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部