以往文献上报告的急性双侧肾上腺出血,常在死亡后尸解中才发现,因为它的临床症状可以很不明显,血生化也不一定出现明显的异常,故时常漏诊。急性肾上腺出血常发生于严重应激反应之时,如外科手术、败血症、烧伤、低血压及出血性素质等情 Acute bilateral adrenal hemorrhage reported previously in the literature is often found in autopsy after death, because its clinical symptoms can be very inconspicuous, and blood biochemistry does not necessarily have obvious abnormalities, so it is often missed. Acute adrenal hemorrhage often occurs during severe stress reactions such as surgery, sepsis, burns, hypotension and hemorrhagic diathesis