论文部分内容阅读
目的探讨丘脑出血继发肾上腺皮质功能减退临床诊治。方法 2008年1月至2011年4月收治的丘脑出血继发肾上腺皮质功能减退19例,临床资料进行总结。结果本组丘脑出血继发肾上腺皮质功能减退19例患者经给予糖皮质激素、纠正低血糖、低钠血症、低氯血症等积极治疗后,死亡3例,其中肾上腺皮质功能危象死亡2例,多脏器功能衰竭死亡1例。结论丘脑出血继发肾上腺皮质功能减退,临床症状不典型,加强影像学诊断及血生化检查,及早明确诊断,避免误诊、误治,降低病死率及致残率。
Objective To investigate the clinical diagnosis and treatment of adrenal insufficiency secondary to thalamic hemorrhage. Methods From January 2008 to April 2011, 19 cases of adrenal insufficiency secondary to thalamic hemorrhage were treated. The clinical data were summarized. Results In this group, 19 patients with sub-adrenal insufficiency after thalamic hemorrhage died of glucocorticoid, correct hypoglycemia, hyponatremia, hypochlorosis and other active treatment, 3 patients died of adrenocortical function crisis 2 Cases, multiple organ failure in 1 case. Conclusions Subthalamic hemorrhage secondary to adrenal insufficiency, clinical symptoms are not typical, to strengthen the imaging diagnosis and blood biochemical tests, early diagnosis, to avoid misdiagnosis, mistreatment, reduce mortality and morbidity.