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伴有出血性内分泌后遗症的心脏搭桥手术。

Cardiac bypass surgery with haemorrhagic endocrine sequelae.

作者信息

Khardori R, Bussing R C, Burns G M, Soler N G

机构信息

Department of Internal Medicine, Southern Illinois University School of Medicine, Springfield 62708.

出版信息

Postgrad Med J. 1987 Jun;63(740):489-92. doi: 10.1136/pgmj.63.740.489.

DOI:10.1136/pgmj.63.740.489
PMID:3501582
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2428343/
Abstract

Cardiac bypass surgery is associated with changes in haemostatis which can lead to bleeding. This report highlights two examples of such bleeding which led to unusual clinical presentations and endocrinological consequences: adrenal and pituitary haemorrhage.

摘要

心脏搭桥手术与止血功能的改变有关，这可能导致出血。本报告重点介绍了两例此类出血的病例，它们导致了不同寻常的临床表现和内分泌后果：肾上腺和垂体出血。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01cb/2428343/7004b58e7bb3/postmedj00198-0061-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01cb/2428343/94a259203c0f/postmedj00198-0061-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01cb/2428343/7004b58e7bb3/postmedj00198-0061-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01cb/2428343/94a259203c0f/postmedj00198-0061-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01cb/2428343/7004b58e7bb3/postmedj00198-0061-b.jpg

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引用本文的文献

1
Pituitary apoplexy presenting as Addisonian crisis after coronary artery bypass grafting.冠状动脉搭桥术后垂体卒中表现为艾迪生病危象。
Tex Heart Inst J. 2002;29(3):193-9.
2
Hypopituitarism after coronary artery bypass grafting.冠状动脉旁路移植术后垂体功能减退
BMJ. 1998 Feb 28;316(7132):682-4. doi: 10.1136/bmj.316.7132.682.

本文引用的文献

1
Extrasellar Extensions of Pituitary Adenomas: (Section of Neurology).垂体腺瘤的鞍外扩展：（神经科章节）
Proc R Soc Med. 1940 May;33(7):433-58. doi: 10.1177/003591574003300717.
2
Adrenal apoplexy. A report of two cases.肾上腺出血性卒中。两例报告。
Proc R Soc Med. 1960 May;53(5):345-8. doi: 10.1177/003591576005300506.
3
COAGULATION DISTURBANCES DURING EXTRACORPOREAL CIRCULATION AND THE POSTOPERATIVE PERIOD.体外循环及术后凝血功能障碍
Acta Chir Scand. 1964 May;127:433-45.
4
Unilateral adrenal hemorrhage during ACTH therapy.
N Engl J Med. 1958 May 8;258(19):945-6. doi: 10.1056/NEJM195805082581906.
5
A study of the role of adrenocorticotropic hormone (ACTH) in the pathogenesis of tubular degeneration of the adrenals.促肾上腺皮质激素（ACTH）在肾上腺肾小管变性发病机制中的作用研究。
Bull Johns Hopkins Hosp. 1953 Nov;93(5):321-47.
6
Spontaneous adrenal hemorrhage in the adult; literature review and report of two cases.成人自发性肾上腺出血；文献综述及两例报告
Ann Intern Med. 1953 Jan;38(1):28-37. doi: 10.7326/0003-4819-38-1-28.
7
Diagnosis and treatment of anticoagulant-related adrenal hemorrhage.抗凝相关肾上腺出血的诊断与治疗
Am J Hematol. 1981 Dec;11(4):379-85. doi: 10.1002/ajh.2830110406.
8
Pituitary apoplexy: its incidence and clinical significance.垂体卒中：其发病率及临床意义。
J Neurosurg. 1981 Aug;55(2):187-93. doi: 10.3171/jns.1981.55.2.0187.
9
Platelet function during cardiac operation: comparison of membrane and bubble oxygenators.心脏手术期间的血小板功能：膜式氧合器与鼓泡式氧合器的比较
J Thorac Cardiovasc Surg. 1982 Jun;83(6):805-12.
10
Bilateral adrenal hemorrhage in an adult. Demonstration by computed tomography.成人双侧肾上腺出血。计算机断层扫描显示。
JAMA. 1982 Mar 26;247(12):1737-9.