Kamrat Nuttamon
Medical Student, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
Trop Doct. 2015 Apr;45(2):73-8. doi: 10.1177/0049475514568700. Epub 2015 Jan 22.
This retrospective study was carried out to estimate the prevalence of an adrenal crisis at a provincial hospital in Thailand over a period of 1 year, and also to explore the relationship between adrenal insufficiency and over-the-counter medicine (OTCM) ingestion. We recruited those patients admitted at Sisaket Hospital between October 2012 and October 2013 who were diagnosed with shock and adrenal insufficiency or adrenal crisis. Of 2,435 patients diagnosed with shock from all causes, 62 (2.55 %) were diagnosed with adrenal crisis, of whom 31 (50.0%) gave a history of OTCM ingestion. This study suggests adrenal crisis with shock is not that uncommon and that the use of OTCM may be the prime culprit.
本回顾性研究旨在评估泰国一家省级医院在1年时间内肾上腺危象的患病率，并探讨肾上腺功能不全与非处方药物（OTCM）摄入之间的关系。我们招募了2012年10月至2013年10月期间在四色菊医院住院、被诊断为休克且伴有肾上腺功能不全或肾上腺危象的患者。在2435例因各种原因被诊断为休克的患者中，62例（2.55%）被诊断为肾上腺危象，其中31例（50.0%）有非处方药物摄入史。本研究表明，伴有休克的肾上腺危象并不罕见，非处方药物的使用可能是主要原因。
