肾上腺出血的诊断与治疗——附17例报告

Diagnosis and Treatment of Adrenal Hemorrhage——A Report of 17 Cases

目的总结肾上腺出血的临床特征,提高对肾上腺出血的诊治水平。方法对该院2000年3月—2017年10月肾上腺出血的17例患者的影像、实验室检查及病理临床资料进行回顾性分析。结果 17例患者临床表现多样,9例行非手术治疗,8例非手术治疗3月后行开放手术。该组病例治疗后肾上腺皮质功能正常。结论肾上腺出血单纯依据症状难以诊断,结合彩超、CT、MRI能有效提高诊断率。肾上腺出血均可先行保守治疗,合并肾上腺肿瘤患者可非手术治疗3个月后手术切除肿瘤。

Objective To summarize the clinical features of adrenal hemorrhage and improve the diagnosis and treatment level of adrenal hemorrhage. Methods The image, laboratory examination and pathological data of 17 cases with adrenal hemorrhage admitted and treated from March 2000 to October 2017 were retrospectively analyzed. Results The clinical manifestations of 17 cases were multiple, 9 cases were for non-operative therapy, 8 cases were treated with open surgery after 3 months, and the suprarenal cortex function after treatment in this group was normal. Conclusion The adrenal hemorrhage can be difficult to diagnose according to symptoms, and we should effectively improve the diagnosis rate combined with color ultrasound, CT and MRI, and the adrenal hemorrhage can be for conservative therapy firstly and for operative resection of tumors in 3 months after the non-operation.