Steroids and the surgical patient

被引：38

作者：

Jabbour, SA ^{[1
]}

机构：

[1] Thomas Jefferson Univ, Jefferson Med Coll, Dept Med, Div Endocrinol Diabet & Metab Dis, Philadelphia, PA 19107 USA

来源：

MEDICAL CLINICS OF NORTH AMERICA | 2001年 / 85卷 / 05期

关键词：

D O I：

10.1016/S0025-7125(05)70379-5

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Glucocorticoids have long been recognized as a requirement for survival in critical illness, including surgery Patients who have hypothalamic-pituitary-adrenal (HPA) axis suppression from previous steroid therapy may present in adrenal crisis if exposed to stress, such as surgery without corticosteroid coverage. This article reviews HPA axis suppression, available tests to assess adrenal responsiveness, and management of patients with adrenal insufficiency during the surgical period.

引用

页码：1311 / +

页数：9

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