Relative Adrenal Insufficiency in Pediatric Septic Shock

被引：2

作者：

Vila-Perez, David ^{[1
]}

Jordan-Garcia, Iolanda ^{[1
]}

机构：

[1] Barcelona Univ, Hosp Sant Joan Deu, Pediat Intens Care Unit, Barcelona, Spain

来源：

JOURNAL OF PEDIATRIC INTENSIVE CARE | 2015年 / 4卷 / 03期

关键词：

sepsis; septic shock; pediatric septic shock; adrenal insufficiency; relative adrenal insufficiency;

D O I：

10.1055/s-0035-1559821

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Sepsis and septic shock represent important causes of morbidity and mortality in children, and adrenal dysfunction may play a role in the cardiovascular and immunological response. According to existing reports, the incidence of adrenal dysfunction in critically ill children varies significantly between 4 and 52% of patients. This article reviews the concept of adrenal insufficiency and the role it may play in a pediatric septic shock. Also discussed are the diagnosis, prognosis, and treatment of adrenal insufficiency in septic shock in adults and children. Finally, the latest recommendations about steroid use in pediatric septic shock are summarized.

引用

页码：129 / 137

页数：9

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