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慢性隐匿型肾上腺皮质功能不足,应激后发生危象者,容易误诊。兹报告并分析5例。例1:误诊为美尼尔氏综合征;感染性休克女,58岁,社员,经常头晕、恶心、呕吐达四个月。曾诊为美尼尔氏综合征。6天前症状加重,全身乏力,发热,上腹痛。1天前卧床不起,血压下降至测不出,以感染性休克入院。查体:T37.5℃,P65,BP62/44,消瘦,失水,面色晦暗,毛发稀少,心音低远,肺清晰,腹平软,无压痛,肝脾未触及。血红蛋白13.4克,白细胞10300,分类正常。血糖76mg/dl,钾5.45mEq/L,钠125mEq/L氧化物96.5mEq/L,NPN18.5mg/
Chronic occult adrenal insufficiency, crisis after the crisis, easy to misdiagnosis. We report and analyze 5 cases. Example 1: Misdiagnosed as Meniere’s syndrome; septic shock female, 58 years old, member, often dizziness, nausea, vomiting for four months. Have been diagnosed with Meniere’s syndrome. Symptoms were aggravated six months ago, malaise, fever and abdominal pain. Bedridden 1 day ago, blood pressure dropped to undetectable, admitted to septic shock. Examination: T37.5 ℃, P65, BP62 / 44, weight loss, dehydration, dull complexion, thin hair, low heart sounds, clear lungs, abdominal soft, no tenderness, liver and spleen not touched. 13.4 grams of hemoglobin, 10300 white blood cells, normal classification. Glucose 76 mg / dl, Potassium 5.45 mEq / L, Sodium 125 mEq / L Oxide 96.5 mEq / L, NPN 18.5 mg /