由于高剂量的甾醇类药物越来越普遍用于治疗各种疾病,故肾上腺危象的发生率亦有所升高。虽然多为慢性过程,但最轻微的诱发因素,如上呼吸道感染、精神创伤等,均可促使危象发作,几小时内就有可能出现威胁生命的肾上腺危象,故应引起重视。事实上,引起肾上腺危象最常见的原因是医源性的,如长期用药使病人的肾上腺萎缩,加上不恰当地快速停药,即可促发。判断本病有以下几点: 一、四联症 肾上腺皮质功能不全有低血压、厌食、体重下降、极度虚弱四种主要临床表现,称为四联症。如实验室检查显示低血钠,高血钾及低血糖,则进一步说明诊断正确性。 As high doses of sterols are increasingly used to treat various diseases, the incidence of adrenal crisis has also risen. Although most of them are chronic processes, the slightest predisposing factors such as upper respiratory tract infection and trauma can promote the crisis and threaten the life-threatening adrenal crisis within a few hours. Therefore, attention should be paid to this. In fact, the most common cause of adrenal crisis is iatrogenic, such as long-term medication to make patients adrenal atrophy, coupled with improper rapid withdrawal can be triggered. To determine the disease has the following points: a, quadruple syndrome adrenal insufficiency have hypotension, anorexia, weight loss, extreme weakness of the four main clinical manifestations, known as tetralogy of Fallot. Such as laboratory tests showed hyponatremia, hyperkalemia and hypoglycemia, then further diagnostic accuracy.