BILATERAL MASSIVE ADRENAL HEMORRHAGE DUE TO SEPSIS - REPORT OF 2 CASES

被引：15

作者：

PICCIOLI, A

CHINI, G

MANNELLI, M

SERIO, M

机构：

[1] UNIV FLORENCE,DIPARTIMENTO FISIOPATOL CLIN,UNITA ENDOCRINOL,I-50139 FLORENCE,ITALY

[2] USL 10D,SERV ANESTESIA & RIANIMAZ,FLORENCE,ITALY

来源：

JOURNAL OF ENDOCRINOLOGICAL INVESTIGATION | 1994年 / 17卷 / 10期

关键词：

ADRENAL HEMORRHAGE; SEPSIS; ADRENAL INSUFFICIENCY;

D O I：

10.1007/BF03347786

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Two cases (a 57-year-old man and an 18-year-old girl) of bilateral massive adrenal hemorrhage (BMAH) due to sepsis (Streptococcus pneumoniae and Neisseira meningitidis, respectively) are reported. At admission, the man presented with fever, severe hypotension, hyperazotemia, acidosis, normonatremia and hypocoagulability, while the girl with severe hypotension, fever, hyponatremia, and hypocoagulability. A diagnostic protocol based on a very quick method for cortisol measurement is proposed, in an attemp to reach an earlier diagnosis of BMAH during sepsis.

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收藏

页码：821 / 824

页数：4

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