Wolff Birger, Machill Klaus, Schulzki Ilona, Schumacher Detlef, Werner Dierk
Int J Cardiol. 2007 Mar 20;116(2):e71-3. doi: 10.1016/j.ijcard.2006.07.207. Epub 2006 Oct 31.
A 42 year-old female, admitted to the ICU, with Addisonian crisis developed acute cardiopulmonary failure after hydrocortisone therapy was initiated. An echocardiogram showed severe reduction in the left-ventricular ejection fraction. Additionally, profound ECG abnormalities with diffuse ST-elevation and decreased QRS-amplitudes occurred, whereas Troponin-I was only moderately increased. Chest X-ray displayed bilateral pulmonary edema. The patient's condition culminated in respiratory failure and cardiogenic shock requiring catecholamines and ventilatory support. After a week, she had recovered uneventfully.
一名42岁女性入住重症监护病房，患有艾迪生病危象，在开始氢化可的松治疗后出现急性心肺衰竭。超声心动图显示左心室射血分数严重降低。此外，出现了伴有弥漫性ST段抬高和QRS波幅降低的严重心电图异常，而肌钙蛋白I仅中度升高。胸部X线显示双侧肺水肿。患者病情最终发展为呼吸衰竭和心源性休克，需要使用儿茶酚胺和通气支持。一周后，她顺利康复。
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