糖皮质激素在感染ppt课件.pptVIP

小剂量皮质激素治疗严重感染与感染性休克的奠基者者，法国的Annane D2009-6月9号在《JAMA》刊登了撰写的系统综述：激素在成人脓毒症及脓毒性休克中的应用 结论： 不同剂量的激素疗法在感染或相关性疾病中已经应用50余年，但能否改善病死率仍不清楚。1998年开始长程、小剂量激素开始广泛应用，对这些研究的亚组分析提示其对短期病死率有良好影响。 Interaction of vasopressin infusion, corticosteroid treatment, and mortality of septic shock VASST（Vasopressin and Septic Shock Trial）Conclusions: There is a statistically significant interaction between vasopressin and corticosteroids. The combination of low-dose vasopressin and corticosteroids was associated with decreased mortality and organ dysfunction compared with norepinephrine and corticosteroids. 在使用激素的亚组患者中对