应激性高血糖症是在原发疾病时应激激素增高导致的β细胞分泌胰岛素发生变化,积极应用外源性胰岛素,纠正高血糖状态十分有益于原发疾病的治疗。这一点以往为ICU医师所疏忽,大量的研究[1]发现对于外科重症患者在严格控制血糖水平后明显降低及减少了患者重症感染的发生、严重的器 Stress hyperglycemia is caused by the increase of stress hormones in the primary disease caused by β-cell insulin secretion changes, the positive application of exogenous insulin, to correct high blood sugar state is very beneficial to the treatment of primary disease. This was previously overlooked by ICU physicians. A large number of studies [1] have found that patients with severe critically ill patients have a significantly lower incidence of severe infections after severe blood glucose control,