創(chuàng)傷、手術、感染、燒傷等極度應激狀況下的危重患者常出現應激性高血糖； 非糖尿病危重患者類似糖尿病的癥狀； 糖尿病危重患者則高血糖程度明顯加重。 創(chuàng)傷后出現不同水平的高血糖，隨著血糖的增高，其死亡危險性也呈階梯樣成倍增長［1，2］……
引用本文： 于健春. 控制血糖水平對外科危重患者預后的影響. 中國普外基礎與臨床雜志, 2009, 16(12): 956-957. doi: 復制
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| 2. | Srinivasan V， Spinella PC, Drott HR, et al. Association of timing, duration, and intensity of hyperglycemia with intensive care unit mortality in critically ill children [J]. Pediatr Crit Care Med, 2004； 5(4): 329-336. |
| 3. | Ramos M, Khalpey Z, Lipsitz S, et al. Relationship of perioperative hyperglycemia and postoperative infections in patients who undergo general and vascular surgery [J]. Ann Surg， 2008; 248(4): 585-591. |
| 4. | van den Berghe G, Wouters P, Weekers F, et al. Intensive insulin therapy in critically ill patients [J]. New Engl J Med, 2001； 345(19): 1359-1367. |
| 5. | Bellomo R. Does intensive insulin therapy protect renal function in critically ill patients? [J]. Nat Clin Pract Nephrol， 2008; 4(8):412-413. |
| 6. | Ray KK, Seshasai SR, Wijesuriya S, et al. Effect of intensive control of glucose on cardiovascular outcomes and death in patients with diabetes mellitus: a meta-analysis of randomized controlled trials [J]. Lancet， 2009; 373（9677）: 1765-1772. |
| 7. | Dellinger RP, Carlet JM， Masur H, et al. Surviving sepsis campaign guidelines for management of severe sepsis and septic shock [J]. Crit Care Med, 2004； 32(3): 858-873. |
| 8. | Dellinger RP, Levy MM, Carlet JM, et al. Surviving Sepsis Campaign: international guidelines for management of severe sepsis and septic shock: 2008 [J]. Crit Care Med， 2008; 36(1): 296-327. |
| 9. | NICE-SUGAR Study Investigators， Finfer S, Chittock DR, et al. Intensive versus conventional glucose control in critically ill patients [J]. N Engl J Med, 2009; 360(13): 1283-1297. |
| 10. | Charles Vega, Laurie Barclay. New guidelines address treatment of hospitalized patients with high blood glucose levels [J]. Endocr Pract, 2009; 15: 1-15. Diabetes Care. Published online May 8, 2009. |
- 1. Laird AM, Miller PR, Kilgo PD, et al. Relationship of early hyperglycemia to mortality in trauma patients [J]. J Trauma, 2004； 56(5): 1058-1062.
- 2. Srinivasan V， Spinella PC, Drott HR, et al. Association of timing, duration, and intensity of hyperglycemia with intensive care unit mortality in critically ill children [J]. Pediatr Crit Care Med, 2004； 5(4): 329-336.
- 3. Ramos M, Khalpey Z, Lipsitz S, et al. Relationship of perioperative hyperglycemia and postoperative infections in patients who undergo general and vascular surgery [J]. Ann Surg， 2008; 248(4): 585-591.
- 4. van den Berghe G, Wouters P, Weekers F, et al. Intensive insulin therapy in critically ill patients [J]. New Engl J Med, 2001； 345(19): 1359-1367.
- 5. Bellomo R. Does intensive insulin therapy protect renal function in critically ill patients? [J]. Nat Clin Pract Nephrol， 2008; 4(8):412-413.
- 6. Ray KK, Seshasai SR, Wijesuriya S, et al. Effect of intensive control of glucose on cardiovascular outcomes and death in patients with diabetes mellitus: a meta-analysis of randomized controlled trials [J]. Lancet， 2009; 373（9677）: 1765-1772.
- 7. Dellinger RP, Carlet JM， Masur H, et al. Surviving sepsis campaign guidelines for management of severe sepsis and septic shock [J]. Crit Care Med, 2004； 32(3): 858-873.
- 8. Dellinger RP, Levy MM, Carlet JM, et al. Surviving Sepsis Campaign: international guidelines for management of severe sepsis and septic shock: 2008 [J]. Crit Care Med， 2008; 36(1): 296-327.
- 9. NICE-SUGAR Study Investigators， Finfer S, Chittock DR, et al. Intensive versus conventional glucose control in critically ill patients [J]. N Engl J Med, 2009; 360(13): 1283-1297.
- 10. Charles Vega, Laurie Barclay. New guidelines address treatment of hospitalized patients with high blood glucose levels [J]. Endocr Pract, 2009; 15: 1-15. Diabetes Care. Published online May 8, 2009.