摘要
创伤后出现应激性高血糖在临床上相当常见,应激性高血糖对创伤后机体既有利,又有弊;其利在于早期的高血糖状态给创伤部位炎症组织和组织修复提供能量的底物,促进抗感染和创伤的愈合,保证机体防卫和生命活动功能的正常进行;其弊是高血糖与创伤患者病情恶化、营养供给不足、感染、各种并发症发生、多器官功能不全综合征、死亡率等增加密切相关。本文通过分析其利弊探讨行之有效的处理方案,如营养支持、严密监护和合理的胰岛素治疗等,以达到提高患者生存率和治愈率的目的。
Posttraumatic stress hyperglycemia is common in critically ill patients. It may benefit the patients because early hyperglycemia can provide energy substrate to the infected tissue and tissue repairings, enhance anti-infection and wound healing, and ensure the normal functions of defensive system and vital movement. However, it may also cause damage to human body, as it is closely related with the deterioration of conditions, insufficient nutrition supply, infections, complications, multiple organ dysfunction syndrome, and increase of mortality. This article analyzes the advantages and disadvantages of posttraumatic stress hyperglycemia, discusses the effective and feasible management strategies including nutrition supports, intensive care, and reasonable insulin therapy, with an attempt to further improve the survival rate and healing rate of traumatic patients.
出处
《中国临床营养杂志》
2006年第6期385-389,共5页
Chinese Journal of Clinical Nutrition
关键词
创伤
应激性高血糖
trauma
stress hyperglycemia
