肾上腺皮质机能不全的临床诊断并不困难,病人有恶心、呕吐、腹泻、虚脱、低血压及色素沉着等症状。患者多为年轻人,紧急抢救可立即输注生理盐水、氢化可的松、氟氢可的松等。急性实验室检查显示典型低钠血症、高钾血症、中度尿毒症,如同时有低血糖,则更有力地支持临床诊断,最后可通过低皮质醇血症和进行短时促皮质素(Shorttetracosactrin)试验确定。 典型病人血基础皮质醇值<100nmol/1,给予Tetracosactrin后并不升高,如同时血浆ACTH Clinical diagnosis of adrenal insufficiency is not difficult, the patient has nausea, vomiting, diarrhea, collapse, hypotension and pigmentation and other symptoms. Patients are mostly young people, emergency rescue can be immediately infusion of saline, hydrocortisone, fludrocortisone and so on. Acute laboratory tests show typical hyponatremia, hyperkalemia, moderate uremia, such as hypoglycemia at the same time, the more powerful support for clinical diagnosis, and finally through the low cortisol and short-term corticotropin (Shorttetracosactrin) test to determine. Typical patient blood basal cortisol value <100nmol / 1, after giving Tetracosactrin does not increase, such as plasma ACTH