Надпочечниковая дисфункция при тяжелой внебольничной пневмонии, потребовавшей применения вено-венозной экстракорпоральной мембранной оксигенации

В статье представлен клинический случай развития надпочечниковой дисфункции у пациента с тяжелой внебольничной пневмонией, потребовавшей применения экстракорпоральной мембранной оксигенации. Обсуждаются отсутствие критериев диагностики надпочечниковой дисфункции при критических состояниях и тактика лечения гидрокортизоном: инициация к применению, его длительность, титрация дозы и условия отмены препарата.

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