Medinger T L, Williams D A, Bruyette D S
Department of Clinical Sciences, College of Veterinary Medicine, Kansas State University, Manhattan 66502.
J Am Vet Med Assoc. 1993 Jun 1;202(11):1869-72.
Three dogs with gastrointestinal tract bleeding of sufficient severity to necessitate blood transfusion were determined to have hypoadrenocorticism on the basis of adrenocortical response to exogenous adrenocorticotropic hormone. All dogs survived the acute crisis and are being managed with fludrocortisone acetate. Hypoadrenocorticism should be considered in the differential diagnosis of acute severe gastrointestinal tract hemorrhage.
三只因胃肠道出血严重到需要输血的狗，根据肾上腺皮质对外源性促肾上腺皮质激素的反应，被诊断为肾上腺皮质功能减退。所有的狗都度过了急性危险期，目前正在接受醋酸氟氢可的松治疗。在急性严重胃肠道出血的鉴别诊断中应考虑肾上腺皮质功能减退。
