Abstract

In recent years,relative adrenal insufficiency in critical patients has become a hot issue.With progression of studies,this definition is insufficient in accuracy.Thus a new definition of critical illnessrelated corticosteroid insufficiency(CIRCI)is developed.Now CIRCI have not had consentaneous diagnostic criteria.Moreover,the benefits of this diagnose to corticosteroid treatment in critical patients remains unclear.This article will review on the diagnosis of CIRCI and current situation of corticosteroid treatment. Key words: Critical illness-related corticosteroid insufficiency; Sepsis; Sepsis shock; Glucocorticoid

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