Stress-induced hyperglycemia

被引：938

作者：

McCowen, KC

Malhotra, A

Bistrian, BR

机构：

[1] Beth Israel Deaconess Med Ctr, Dept Med, Div Clin Nutr, Boston, MA 02215 USA

[2] Brigham & Womens Hosp, Dept Med, Boston, MA 02115 USA

[3] Harvard Univ, Sch Med, Dept Med, Boston, MA USA

来源：

CRITICAL CARE CLINICS | 2001年 / 17卷 / 01期

关键词：

D O I：

10.1016/S0749-0704(05)70154-8

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Stress-induced hyperglycemia is common in the ICU. Major contributing factors include excessive counterregulatory hormones, cytokine release and administration of excessive dextrose support. Evidence that aggressive management of hyperglycemia in the ICU is beneficial is sparse, and many studies are retrospective. Correction of hyperglycemia clearly improves mortality in patients with myocardial infarction (MI), and may reduce subsequent infectious complications in surgical patients.

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页码：107 / +

页数：19

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