CORTISOL RESPONSE TO CORTICOTROPIN AND SURVIVAL IN SEPTIC SHOCK

被引：315

作者：

ROTHWELL, PM ^{[1
]}

UDWADIA, ZF ^{[1
]}

LAWLER, PG ^{[1
]}

机构：

[1] S CLEVELAND HOSP,INTENS THERAPY UNIT,MIDDLESBROUGH,ENGLAND

来源：

LANCET | 1991年 / 337卷 / 8741期

关键词：

D O I：

10.1016/0140-6736(91)91641-7

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Corticotropin stimulation tests were used to assess adrenocortical function in 32 patients with septic shock. 13 patients had a poor cortisol response (rise < 250 nmol/l) to corticotropin, all of whom died. However, there were only 6 deaths among the 19 patients with adequate responses (p < 0.001). These results suggest that some patients with septic shock may have relative adrenocortical insufficiency.

引用

页码：582 / 583

页数：2

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