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肺心病患者由于长期缺氧、呼吸道感染,反复心衰,部分患者有反复哮喘样发作,使肾上腺皮质长期处于缺氧和应激反应状态,可导致肾上腺皮质功能不全,临床应用皮质激素治疗肺心病合并顽固性心衰有一定疗效。但对肾上腺皮质功能的研究尚不多,对肾上腺髓质功能的了解更缺乏。肺心病尸检发现肾上腺皮质和髓质均萎缩,故推想也可有肾上腺髓质分泌功能不足。为此,我们对肺心病患者的肾上腺皮质和髓质功能进行研究,现将临床与实验室资料整理报告如下。
Due to chronic hypoxia, respiratory infections, repeated heart failure, some patients have recurrent asthma-like episodes, the adrenal cortex in the long-term hypoxia and stress response, can lead to adrenal insufficiency, the clinical application of corticosteroids in the treatment of pulmonary heart disease Merged with refractory heart failure have a certain effect. However, the research on the function of the adrenal cortex is not yet much, and the understanding of the function of the adrenal medulla is more lacking. Coronary heart disease found that the adrenal cortex and medulla were atrophy, so there may be hypoplastic secretion of adrenal medulla. To this end, we study the function of adrenal cortex and medulla in patients with pulmonary heart disease, now clinical and laboratory data are summarized below.