外科病房中漏诊的艾迪生病危象
Missed Addisonian crisis in surgical wards.
作者信息
Small M, MacCuish A C, Thomson J A
机构信息
University Department of Medicine, Royal Infirmary, Glasgow, UK.
出版信息
Postgrad Med J. 1987 May;63(739):367-9. doi: 10.1136/pgmj.63.739.367.
Abstract
Three women were admitted to the surgical wards with acute gastro-intestinal symptoms and despite good clinical (pigmentation, hypotension) and biochemical (hyponatraemia, acidosis) evidence of Addisonian crisis had unnecessary investigations with delay in the diagnosis and appropriate management of this medical emergency. Clinicians should take careful note of the typical electrolyte upset seen in Addisonian crisis.
摘要
三名女性因急性胃肠道症状入住外科病房，尽管有明显的临床症状（色素沉着、低血压）和生化指标（低钠血症、酸中毒）表明存在艾迪生病危象，但仍进行了不必要的检查，导致诊断延误，未能及时对这一医疗急症进行恰当处理。临床医生应密切留意艾迪生病危象中典型的电解质紊乱情况。
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Clin Endocrinol Metab. 1980 Nov;9(3):437-60.
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