双侧肾上腺皮质出血导致急性肾上腺皮质功能不金被认为是抗凝治疗的致死性的并发症。这一急症很少在死前被觉察。作者观察了4例因接受抗凝治疗而引起肾上腺皮质功能不全的患者,其中3例在应用肾上腺皮质激素的替代治疗后得以存活。过去曾报道过60例接受双香豆素类药物或肝素治疗而发生双侧肾上腺皮质出血的病例。在本组的病例中,肾上腺皮质出血的症状可能发生在抗凝治疗的8天之内。上腹部疼痛并向背部或二侧腰部放射,恶 Bilateral adrenocortical hemorrhage leading to acute adrenal insufficiency is considered a fatal complication of anticoagulant therapy. The emergency is rarely detected before death. The authors looked at 4 patients who had adrenal insufficiency due to anticoagulant therapy and 3 of whom survived the replacement therapy with corticosteroids. In the past, 60 cases of bilateral adrenocortical hemorrhage have been reported in 60 patients receiving dicoumarol or heparin. In this group of patients, the symptoms of adrenocortical hemorrhage may occur within 8 days of anticoagulant therapy. Abdominal pain and back to the back or both waist radiation, evil