医学
低血糖
血糖性
蛛网膜下腔出血
病危
重症监护医学
创伤性脑损伤
麻醉
冲程(发动机)
内科学
胰岛素
精神科
机械工程
工程类
作者
Carla Venegas-Borsellino,Michael Pizzi,Santiago Naranjo-Sierra
出处
期刊:Oxford University Press eBooks
[Oxford University Press]
日期:2019-09-01
卷期号:: C37-C37.P70
标识
DOI:10.1093/med/9780190862923.003.0037
摘要
Abstract Hyperglycemia, hypoglycemia, and variable blood glucose levels are associated with poor outcomes in critically ill patients. Patients with acute brain injury are sensitive to changes in glycemic levels because brain metabolism depends on a continuous, reliable supply of glucose. Numerous studies have shown that even moderate hypoglycemia may cause pronounced neuroglycopenia. Conversely hyperglycemia, which is prevalent in neurocritically ill patients, has been related to adverse outcomes after traumatic brain injury, ischemic stroke, intracranial hemorrhage, and subarachnoid hemorrhage.
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