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心搏呼吸骤停复苏后的患者,机体经受了来自多方面的巨大创伤,并继续处于严重的应激状态,因而其血糖的剧烈变化不可避免。即使患者既往没有糖代谢紊乱的基础病史,应激性高血糖亦非常普遍。抗调节激素和细胞因子,如胰高血糖素、生长激素、儿茶酚胺和糖皮质激素的大量分泌是产生应激性高血糖的主要原因。强化胰岛素治疗能够降低感染的发生率和改善机体物质及能量代谢,进而改善患者的预后。
In patients who have recovered from cardiac arrest and resuscitation, the body has undergone tremendous trauma from many sources and continues to be in a state of severe stress. Therefore, the dramatic changes in blood glucose are inevitable. Even if the patient had no underlying medical history of dysglycemia, stress hyperglycemia was also common. Mass production of anti-sex hormones and cytokines such as glucagon, growth hormone, catecholamines, and glucocorticoids is the main cause of stress-induced hyperglycemia. Intensive insulin therapy can reduce the incidence of infection and improve the body’s metabolism of substances and energy, thus improving the patient’s prognosis.