Gazymov M M
Urol Nefrol (Mosk). 1993 Jan-Feb(1):25-8.
Among surgical patients renal diseases association with diabetes mellitus was found in 117, with thyroid affection in 82 patients. Twenty-six patients were treated for primary hyperparathyroidism, 46 were operated on for adrenal tumors: pheochromocytoma (23 cases), Conn's syndrome (3 cases). Hyperglycemic coma in patients with acute purulent renal diseases was primarily due to overlooked diabetes mellitus. Thyrotoxic crises emerged after urgent ureterolithotomy in a female patient suffering from toxic goiter, hypothyroid coma occurred in a male subject with undetected hypothyroidism following pyelolithotomy. Clinical variability of the symptoms, no attempts oriented on their detection led to diagnosis of pheochromocytoma, Conn's syndrome, primary hyperparathyroidism in emergency situations or at autopsy. Timely diagnosis and pathogenetic therapy of endocrine crises produced favourable outcomes.
在外科手术患者中，发现117例患有与糖尿病相关的肾脏疾病，82例患有甲状腺疾病。26例接受了原发性甲状旁腺功能亢进症的治疗，46例接受了肾上腺肿瘤手术：嗜铬细胞瘤（23例），Conn综合征（3例）。急性化脓性肾脏疾病患者的高血糖昏迷主要是由于漏诊糖尿病所致。一名患有毒性甲状腺肿的女性患者在紧急输尿管取石术后出现甲状腺毒症危象，一名患有未被发现的甲状腺功能减退症的男性患者在肾盂取石术后发生甲状腺功能减退昏迷。症状的临床变异性以及未进行旨在检测这些症状的尝试导致在紧急情况下或尸检时才诊断出嗜铬细胞瘤、Conn综合征、原发性甲状旁腺功能亢进症。内分泌危象的及时诊断和病因治疗产生了良好的效果。
