继发性肾上腺皮质功能减退症33例临床分析
被引量:6
摘要
资料与方法
2003—2009年收治33例肾上腺皮质功能减退症(其中皮质危象5例),男14例,女19例;年龄40-72岁(62±5.2岁),病程20天~3年。具体病因:长期应用糖皮质激素停药后10例(30.3%)、席汗氏综合征4例、严重疾病5例、严重感染5例、手术后3例、甲状腺功能减退2例、垂体瘤1例、继发于肝硬化1例、严重烧伤1例,有3例(9.1%)发生肾上腺危象。
参考文献3
-
1COURSN D B, WOOD K E. Cortieosteroid supplementation for adrenal insufficiency. JAMA,2002,287(2) :228 -230.
-
2周华,许媛.重症患者的肾上腺皮质功能不全[J].医学新知,2007,17(5):258-260. 被引量:7
-
3周华,许媛,何伟.重症病人甲状腺功能状态及其相关激素改变[J].首都医科大学学报,2007,28(5):587-591. 被引量:10
二级参考文献19
-
1Slag M F,Morley J E,Elson M K,et al.Hypothyroxenemia in critically ill patients as predictor of high mortality[J].JAMA,1981,245:43-45.
-
2Elvio S,Stefano B,Amir E,et al.Low triiodothyronine(T3) state:a predictor of outcome in respiratory failure? Results of a clinical pilot study[J].European J Endocrinology,2004,151:557-560.
-
3Giorgio Iervasi,Alessandro Pingitore,Patrizia Landi,et al.Low-T3 syndrome a strong prognostic predictor of death in patients with heart disease[J].Circulation,2003,107:708-713.
-
4Debapriya Datta,Paul Scalise.Hypothyroidism and failure to wean in patients receiving prolonged mechanical ventilation at a regional weaning center[J].CHEST,2004,126:1307-1312.
-
5Hao Chih Ho,Alyssa D Chapital,Mihae Y.Hypothyroidism and adrenal insufficiency in sepsis and hemorrhagic shock[J].Arch Surg,2004,139:1199-1203.
-
6Fliers E,Guldenaar S E F,Wiersinga W M,et al.Decreased hypothalamic thyrotropin-releasing hormone gene expression in patients with non-thyroidal illness[J].J Clin Endocrinol Metab,1997,82:4032-4036.
-
7Van den Berghe G,de Zegher F,Veldhuis J D,et al.Thyrotropin and prolactin release in prolonged critical illness:dynamics of sponaneous secretion and effects of growth hormone secretagogues[J].Clin Endocrinol,1997,47:599-612.
-
8Van den Berghe G,de Zegher F,Baxter R C,et al.Neuroendocrinology of prolonged critical illness:effect of continuous thyrotropin-releasing hormone infusion and its combination with growth hormone-secretagogues[J].J Clin Endocrinol Metab,1998,83:309-319.
-
9Van den Berghe G,Wouters P,Weekers F,et al.Reactivation of pituitary hormone release and metabolic improvement by infusion of growth hormone releasing peptide and thyrotropin-releasing hormone in patients with protracted critical illness[J].J Clin Endocrinol Metab,1999,84:1311-1323.
-
10Michalaki M,Vagenakis A G,Makri M,et al.Dissociation of the early decline in serum T(3) concentration and serum IL-6 rise and TNFalpha in nonthyroidal illness syndrome induced by abdominal surgery[J].J Clin Endocrinol Metab,2001,86:4198-4205.
共引文献15
-
1贺永前,冯海翔.内科危重病患者血清甲状腺激素水平的检测意义[J].当代医学,2009,15(6):16-16. 被引量:3
-
2惠远见,王卫星,徐胜,余佳,张昌威,邓文宏.重症急性胰腺炎大鼠肾上腺病理及超微结构变化[J].微循环学杂志,2009,19(3):9-10. 被引量:3
-
3梅国丰,潘国良,陆国锋.严重创伤患者血清TH测定的临床意义[J].放射免疫学杂志,2010,23(3):300-302.
-
4李效华.丘脑出血继发肾上腺皮质功能减退临床分析[J].医药论坛杂志,2010,31(23):130-130. 被引量:1
-
5陈敬捷,陈惠娟,韦献飞,唐荣兰.艾滋病患者血清甲状腺激素变化及其临床意义[J].中国基层医药,2011,18(2):171-172.
-
6朱萍,李凌梅.矽肺合并肺心病患者肾上腺皮质功能评价的临床研究[J].中国社区医师(医学专业),2011,13(22):253-254. 被引量:2
-
7叶颖剑,胡乃中.肝硬化并发肾上腺皮质功能不全的临床研究现状[J].国际消化病杂志,2011,31(5):287-290.
-
8尹辉,陈晓波.肾上腺功能评价方法研究进展[J].中国实用儿科杂志,2012,27(11):873-875. 被引量:4
-
9马静,顾珮瑜,陈敏,谢志娟,胡玲玲.血必净对老年重度糖尿病足围手术期甲状腺激素水平影响作用的临床观察[J].中国医院药学杂志,2013,33(17):1412-1414. 被引量:8
-
10陈惠娟,韦献飞,唐荣兰,陈敬捷.AIDS患者血清甲状腺激素含量及临床意义的研究[J].柳州医学,2013,26(4):218-220. 被引量:1
同被引文献27
-
1任喜洁,刘艳华.任继学教授治疗肾上腺皮质功能减退症验案例析[J].中医药学刊,2005,23(2):224-224. 被引量:1
-
2中华医学会呼吸病学分会哮喘学组.支气管哮喘防治指南(支气管哮喘的定义、诊断、治疗及教育和管理方案)[J].中华内科杂志,2003,42(11):817-822. 被引量:294
-
3韦继政,李素珍,钟秀珍.分阶段中药辅佐激素治疗肾病综合征的临床疗效及对肾上腺皮质功能的影响[J].中国中西医结合肾病杂志,2005,6(3):164-165. 被引量:12
-
4冯远军.32例慢性肾上腺皮质机能减退症病因分析[J].现代医药卫生,2003,19(9):1139-1139. 被引量:3
-
5杨岫岩.如何合理应用肾上腺皮质激素[J].新医学,2006,37(3):194-195. 被引量:17
-
6Spencer S,Calverley PM, Burge PS, et al. Impact of pre-venting exacerbations on deterioration of health status in COPD[ J]. Eur Respir,2004,23 ( 5 ) :698 - 702.
-
7Marie L,Hachulla E,Hatron P,et al. Polymyositis and dermatomyosi-tis: shortterm and longterm outcome, and predictive factors of prog-mosis [J]. Rheumatol, 2001,28 : 2230-2237.
-
8Schneider C ,Matsumoto Y, Kohyama K,et al. Experimental autoim-mune myositis in the lewis rat: lack of spontaneous T-cell apoptosisand the rapeutic response to glucocorticos teroi 一 dapplication [J].Neuro immunol,2000; 107:83-87.
-
9Dalakas MC’Hoh HR. Rolymyositis and dermatomyositis [J]. Lancet,2003,362 (9388):971-982.
-
10Stefanie Hahner,Bruno Allolio.Therapeutic management of adrenal insufficiency[J].Best Practice&Research Clinical Endocrinology&Metabolism,2009,23(2):167-179.
引证文献6
-
1李燕.继发性慢性肾上腺皮质功能减退症28例分析[J].医学信息(中旬刊),2010,5(9):2349-2350. 被引量:3
-
2张孝彬,刘勤.哮喘合并继发性慢性肾上腺皮质功能减退静脉激素治疗后撤药方法探讨[J].临床肺科杂志,2012,17(1):142-143.
-
3雷建勇,严律南,王文涛,徐明清,杨家印.术后出血致继发性肾上腺皮质功能不全一例[J].华西医学,2012,27(9):1438-1438.
-
4武昆,王晓英,姚合斌.肾上腺危象并多发性肌炎1例并文献复习[J].中国医药导报,2013,10(9):103-104. 被引量:1
-
5许建挺,鲁特飞,程雯.中西医结合治疗肾上腺肿瘤术后皮质功能减退的临床疗效[J].中华中医药学刊,2016,34(6):1421-1424. 被引量:1
-
6李欠颖.继发性肾上腺皮质功能减退致嗜酸性粒细胞增多1例[J].皮肤病与性病,2019,41(5):741-742. 被引量:1
二级引证文献6
-
1雷建勇,严律南,王文涛,徐明清,杨家印.术后出血致继发性肾上腺皮质功能不全一例[J].华西医学,2012,27(9):1438-1438.
-
2农文燕,梁军,李福灯.以顾固性呕吐为表现的肾上腺皮质功能减退症误诊3例[J].中国农村卫生,2013(03Z):163-164.
-
3白雪冬,毕丽岩.药源性肾上腺皮质功能减退症因恶心呕吐误诊胃炎[J].临床误诊误治,2015,28(9):9-11. 被引量:3
-
4周静,袁开芬,赵国厚,王月平,何承艳.脓毒性休克并肾上腺危象漏诊后者一例[J].临床误诊误治,2016,29(6):6-7. 被引量:3
-
5王冬梅.糖皮质激素引起肾上腺皮质功能减退症误诊48例分析[J].中国社区医师,2019,35(15):54-54.
-
6庞子轩,刘媛媛,岳妍.非典型肾上腺皮质功能减退症报道1例[J].中西医结合心血管病电子杂志,2020,8(28):181-182. 被引量:1
-
1吕媛媛.继发性肾上腺皮质功能减退症临床分析[J].临床荟萃,2010,25(19):1705-1706. 被引量:7
-
2何闽.继发性肾上腺皮质功能减退症误诊为胃炎1例[J].疑难病杂志,2011,10(2):103-103. 被引量:1
-
3莫一菲,周健,包玉倩,高非,陆蔚,贾伟平.1型糖尿病合并继发性肾上腺皮质功能减退症致反复出现严重低血糖一例[J].上海医学,2013,36(5):474-476. 被引量:1
-
4赵建荣,杨丽萍.继发性肾上腺皮质功能减退症合并肾上腺危象3例[J].中国医师杂志,2004,6(6):789-789. 被引量:2
-
5张进福,张福文.继发性肾上腺皮质功能减退症合并肾上腺危象13例分析[J].山西医药杂志(下半月),2009,38(3):245-246. 被引量:1
-
6江锋.慢性肾上腺皮质功能减退的诊治[J].中山大学学报(医学科学版),2008,29(S1):168-169. 被引量:1
-
7赵伟,刘春红,陈文辉,王妍,李双蕾.中西医结合治疗顽固性痛风合并继发性肾上腺皮质功能减退症的体会——附2例报道[J].广西中医药大学学报,2014,17(4):14-16. 被引量:6
-
8周晓倩,何云.继发性肾上腺皮质功能减退症合并肾上腺危象1例[J].西南军医,2006,8(1):37-37. 被引量:8
-
9白雪冬,毕丽岩.药源性肾上腺皮质功能减退症因恶心呕吐误诊胃炎[J].临床误诊误治,2015,28(9):9-11. 被引量:3
-
10蒋翠萍,曾梅芳,杨丽娜,鹿斌,杨叶虹,张朝云,吴晞,周丽诺,胡仁明,叶红英,李益明.以消化道症状为首发的成人孤立性促肾上腺皮质激素缺乏症四例[J].中华消化杂志,2016,36(12):849-850. 被引量:1