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目的探讨丘脑出血继发肾上腺皮质功能减退临床治疗措施。方法回顾分析21例患者的临床资料。结果本组丘脑出血继发肾上腺皮质功能减退的21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4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2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,以改善患者的预后。
Objective To investigate the clinical treatment of adrenal insufficiency secondary to thalamic hemorrhage. Methods The clinical data of 21 patients were retrospectively analyzed. Results Twenty-one patients with hypothyroidism secondary to thalamic hemorrhage were treated with glucocorticoids, hypoglycaemia, hyponatremia and hypochlorosis. Four patients died of adrenal insufficiency 2 died, multiple organ failure in 2 cases. Conclusions The clinical manifestations of adrenal insufficiency secondary to thalamic hemorrhage are not typical, and imaging diagnosis and blood biochemical examination are strengthened. Early diagnosis is made to improve the prognosis of patients.