Tucci Veronica, Sokari Telematé
Section of Emergency Medicine, Emergency Center, Ben Taub General Hospital, Baylor College of Medicine, 1 Baylor Plaza, 1504 Taub Loop, Houston, TX 77030, USA.
Section of Emergency Medicine, Emergency Center, Ben Taub General Hospital, Baylor College of Medicine, 1 Baylor Plaza, 1504 Taub Loop, Houston, TX 77030, USA.
Emerg Med Clin North Am. 2014 May;32(2):465-84. doi: 10.1016/j.emc.2014.01.006.
Emergency medicine physicians should be able to identify and treat patients whose clinical presentations, including key historical, physical examination, and laboratory findings are consistent with diagnoses of primary, secondary, and tertiary adrenal insufficiency, adrenal crisis, and pheochromocytoma. Failure to make a timely diagnosis leads to increased morbidity and mortality. As great mimickers, adrenal emergencies often present with a constellation of nonspecific signs and symptoms that can lead even the most diligent emergency physician astray. The emergency physician must include adrenal emergencies in the differential diagnosis when encountering such clinical pictures.
急诊医学医生应能够识别并治疗那些临床表现（包括关键的病史、体格检查和实验室检查结果）与原发性、继发性和 tertiary 肾上腺皮质功能减退、肾上腺危象及嗜铬细胞瘤诊断相符的患者。未能及时做出诊断会导致发病率和死亡率上升。作为严重的模仿者，肾上腺急症常表现为一系列非特异性体征和症状，甚至会使最勤勉的急诊医生误入歧途。急诊医生在遇到此类临床表现时，必须将肾上腺急症纳入鉴别诊断。 （注：这里tertiary 疑有误，可能是tertiary，但无法准确翻译，可根据实际情况调整）
