柯兴氏综合征又称为皮质醇增多症,多数病例症状典型,诊断无困难,及时手术效果较好。本病因长期误诊而死亡者少见。我院自1980年以来收治柯兴氏综合征81例,其中1例长期误诊,在明确诊断后手术时死亡,现报告如下。病例:男,47岁。肥胖、头昏、发作性胸闷胸痛6年余。自1983年开始肥胖、乏力,1984年10月突发性心前区疼痛,1985年5月再次严重发作,血压高至21.3/14.6kpa左右,空腹血糖9.99mmol/L。心电图:急性前间壁心肌梗塞,长期休息治疗,然而胸闷、气急、头昏等症状仍时有加重。1988年1月脑血栓形成,同年12月因上述症状显著 Cushing’s syndrome is also known as cortisol hyperplasia. The symptoms are typical in most cases and there is no difficulty in diagnosis. The effect of timely surgery is better. The disease is rare due to long-term misdiagnosis. Our hospital has treated 81 cases of Cushing’s syndrome since 1980. One of the cases has been misdiagnosed for a long time and died after a definite diagnosis. The report is as follows. Case: Male, 47 years old. Obesity, dizziness, episodic chest pain and chest pain more than 6 years. Obesity and fatigue began in 1983. Sudden precordial pain in October 1984. Severe episodes again in May 1985. Blood pressure was as high as 21.3/14.6 kpa and fasting blood glucose was 9.99 mmol/L. Electrocardiogram: acute anteroseptal myocardial infarction, long-term rest treatment, but chest tightness, shortness of breath, dizziness and other symptoms are still increasing. Cerebral thrombosis in January 1988, with significant above-mentioned symptoms in December of the same year