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双边上腺出血:从临床实践和文献综述中学习笔记
Maria Elena Aloini1, Sara Manella2, Irene Biondo1
1Endocrinology, Department of Clinical and Molecular Medicine, Sant'Andrea University Hospital, Sapienza University of Rome, Rome, Italy.
Frontiers in endocrinology
|November 29, 2023
概括
双边上腺出血是一种罕见的疾病,可能导致上腺功能不全. 及时识别和治疗至关重要,特别是在患有非特异性症状和风险因素的患者中,如最近的手术和抗凝药.
科学领域:
- 内分泌学 在内分泌学.
- 放射学 放射学是一门学科.
- 内部医学 内部医学
背景情况:
- 双边上腺出血很少见,但可能导致危及生命的上腺功能不全.
- 由于非特异性症状,如腹痛和疲劳,诊断是具有挑战性的.
- 导致上腺静脉血栓的系统性疾病是通常的原因.
研究的目的:
- 在最近接受手术并使用低分子量肝素的患者中呈现两例双侧上腺出血.
- 突出诊断挑战和临床线索,以识别有风险的患者.
- 审查文献,概述双边上腺出血的危险因素.
主要方法:
- 关于两名患者出现急性腹痛的病例报告.
- 实验室调查包括中性细胞白细胞症和贫血.
- 计算机断层扫描 (CT) 扫描可视化上腺扩大.
- 上腺功能测试和随后的用皮治疗.
主要成果:
- 两位患者都出现了非特异性症状和危险因素 (手术,LMWH).
- CT扫描显示双边上腺扩大与出血一致.
- 上腺功能不足得到证实,需要进行皮治疗.
- 一名患者恢复了上腺功能;另一个需要长期的替代疗法.
结论:
- 双边上腺出血需要及时识别和治疗,以预防上腺功能不充分.
- 非特定的症状,最近的手术和抗凝药可能表明风险.
- 早期诊断和管理对于患者的治疗结果至关重要.
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