Wunderlich H, Heisig I, Schlichter A, Schumann S, Kosmehl H, Schubert J
Klinik für Urologie, Friedrich-Schiller-Universität Jena.
Z Arztl Fortbild Qualitatssich. 1997 Dec;91(8):735-8.
Clinical features and the management of adrenal insufficiency are considered with reference to etiology, diagnosis, and treatment. Specifically considered are the management of patients with Addison's disease and metastases. Adrenal insufficiency may go unrecognized in the cancer patients because features such as nausea, vomiting, anorexia as well as orthostatic hypotension are not specific and may be mistakenly attributed to advancing malignancy or side effects of therapy. Prompt recognition and treatment of adrenal insufficiency can avert potentially life-threatening situations.
本文参照病因、诊断和治疗，对肾上腺功能不全的临床特征及管理进行了探讨。具体讨论了艾迪生病和转移瘤患者的管理。癌症患者的肾上腺功能不全可能未被识别，因为恶心、呕吐、厌食以及直立性低血压等症状并不具有特异性，可能会被错误地归因于恶性肿瘤进展或治疗副作用。及时识别和治疗肾上腺功能不全可避免潜在的危及生命的情况。
