Sheridan R L, Ryan C M, Tompkins R G
Massachusetts General Hospital, Department of Surgery, Harvard Medical School, Boston.
Burns. 1993 Feb;19(1):63-6. doi: 10.1016/0305-4179(93)90103-f.
Acute adrenal insufficiency may underlie a confusing, stormy, intensive care unit course after a burn. The aetiology is most likely to be adrenal haemorrhage despite the absence of a coagulopathy. This report describes two patients who were diagnosed antemortem and successfully treated with replacement therapy. The aetiology, presentation, diagnosis and treatment of acute adrenal insufficiency in the intensive care unit is reviewed.
急性肾上腺功能不全可能是烧伤后在重症监护病房出现复杂、多变病程的潜在原因。尽管没有凝血功能障碍，但其病因最可能是肾上腺出血。本报告描述了两名在生前被诊断出并通过替代疗法成功治疗的患者。本文对重症监护病房中急性肾上腺功能不全的病因、表现、诊断和治疗进行了综述。
