高血糖是危重症和(或)ICU患者的常见问题,可对患者的生存率和病死率产生不利的影响。许多因素可以导致高血糖,包括应激、糖尿病、肥胖、增龄、应用激素、败血症、胰腺炎以及使用营养支持等。如果诊断明确、处置得当,可以有利于患者的康复;如果误诊误治,将延误患者的康复甚至导 Hyperglycemia is a common problem in critically ill and (or) ICU patients and can have adverse effects on patient survival and mortality. Many factors can contribute to hyperglycemia, including stress, diabetes, obesity, aging, hormones, sepsis, pancreatitis, and nutritional support. If the diagnosis is clear, properly handled, can be beneficial to the patient’s recovery; misdiagnosis and mistreatment will delay the patient’s recovery and even lead