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A Challenging diagnosis that eventually results in a life-threatening condition: Addison's disease and adrenal crisis.一种具有挑战性的诊断，最终导致危及生命的状况：艾迪生病和肾上腺危象。
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本文引用的文献

1
Guidelines for the diagnosis and management of critical illness-related corticosteroid insufficiency (CIRCI) in critically ill patients (Part I): Society of Critical Care Medicine (SCCM) and European Society of Intensive Care Medicine (ESICM) 2017.危重病相关皮质激素不足（CIRCI）的诊断和管理指南（第一部分）：危重病医学会（SCCM）和欧洲危重病医学会（ESICM）2017 年。
Intensive Care Med. 2017 Dec;43(12):1751-1763. doi: 10.1007/s00134-017-4919-5. Epub 2017 Sep 21.
2
Update on adrenal insufficiency: diagnosis and management in pregnancy.肾上腺皮质功能减退症最新进展：妊娠期的诊断与管理
Curr Opin Endocrinol Diabetes Obes. 2017 Jun;24(3):184-192. doi: 10.1097/MED.0000000000000331.
3
Acute management of autoimmune toxicity in cancer patients on immunotherapy: Common toxicities and the approach for the emergency physician.癌症患者免疫治疗中自身免疫毒性的急性处理：常见毒性及急诊医生的应对方法
Emerg Med Australas. 2017 Apr;29(2):245-251. doi: 10.1111/1742-6723.12718. Epub 2017 Jan 16.
4
Adrenal crises: perspectives and research directions.肾上腺危象：观点与研究方向
Endocrine. 2017 Feb;55(2):336-345. doi: 10.1007/s12020-016-1204-2. Epub 2016 Dec 19.
5
Diagnosis and Treatment of Primary Adrenal Insufficiency: An Endocrine Society Clinical Practice Guideline.原发性肾上腺皮质功能减退症的诊断与治疗：内分泌学会临床实践指南
J Clin Endocrinol Metab. 2016 Feb;101(2):364-89. doi: 10.1210/jc.2015-1710. Epub 2016 Jan 13.
6
Adrenal Crisis: Still a Deadly Event in the 21st Century.肾上腺危象：在21世纪仍是致命事件。
Am J Med. 2016 Mar;129(3):339.e1-9. doi: 10.1016/j.amjmed.2015.08.021. Epub 2015 Sep 9.
7
Adrenal suppression in patients taking inhaled glucocorticoids is highly prevalent and management can be guided by morning cortisol.吸入糖皮质激素治疗的患者肾上腺抑制非常普遍，可通过早晨皮质醇水平指导管理。
Eur J Endocrinol. 2015 Nov;173(5):633-42. doi: 10.1530/EJE-15-0608. Epub 2015 Aug 20.
8
Ten false beliefs about cortisol in critically ill patients.关于危重症患者皮质醇的十个错误观念。
Intensive Care Med. 2015 Oct;41(10):1817-9. doi: 10.1007/s00134-014-3635-7. Epub 2015 Jan 21.
9
High incidence of adrenal crisis in educated patients with chronic adrenal insufficiency: a prospective study.慢性肾上腺皮质功能减退症患者中肾上腺危象的高发病率：一项前瞻性研究。
J Clin Endocrinol Metab. 2015 Feb;100(2):407-16. doi: 10.1210/jc.2014-3191. Epub 2014 Nov 24.
10
Consensus statement on the diagnosis, treatment and follow-up of patients with primary adrenal insufficiency.原发性肾上腺功能不全患者的诊断、治疗和随访共识声明。
J Intern Med. 2014 Feb;275(2):104-15. doi: 10.1111/joim.12162. Epub 2013 Dec 16.

Understanding adrenal crisis.

作者信息

Amrein Karin, Martucci Gennaro, Hahner Stefanie

机构信息

Division of Endocrinology and Diabetology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.

Department of Anesthesia and Intensive Care, IRCCS-ISMETT, Palermo, Italy.

出版信息

Intensive Care Med. 2018 May;44(5):652-655. doi: 10.1007/s00134-017-4954-2. Epub 2017 Oct 26.

DOI:10.1007/s00134-017-4954-2
PMID:29075801
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6006214/
Abstract
摘要