BMJ Best Practice
最后审核时间： 七月 2019
最近更新时间： 四月 2019

小结

定义

病史和查体

关键诊断因素

  • 存在的危险因素
  • 疲劳
  • 厌食
  • 嗜盐症
全部具体信息

其他诊断因素

  • 恶心
  • 呕吐
  • 低血压
  • 关节痛和肌痛
全部具体信息

危险因素

  • 女性
  • 肾上腺皮质自身抗体
  • 肾上腺出血
  • 自身免疫性疾病
全部具体信息

诊断性检查

首要检查

  • 血清电解质
  • 血尿素
  • 全血细胞计数（FBC）
  • 清晨血清皮质醇
全部具体信息

需要考虑的检查

  • 促肾上腺皮质激素 (ACTH) 刺激试验
  • 血清 ACTH
  • 血浆肾素活性
  • 血浆醛固酮
全部具体信息

治疗流程

推断

肾上腺危象

疾病持续状态

病情稳定和/或进行急性发作期治疗后

贡献者

作者 查看所有

Professor Emeritus and Honorary Consultant

Department of Endocrinology and Diabetes Mellitus

St. Vincent’s University Hospital

Dublin

Ireland

利益冲突披露
TJMcK declares that he has no competing interests.

Dr T. Joseph McKenna would like to gratefully acknowledge Dr Shehzad Basaria and Dr Milena Braga-Basaria, previous contributors to this topic.

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SB and MBB declare that they have no competing interests.

同行评议专家 查看所有

Division of Endocrinology

Case Medical Center

Cleveland

OH

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BA declares that he has no competing interests.

Instructor in Medicine

Brigham and Women's Hospital

Division of Endocrinology

Diabetes and Hypertension

Boston

MA

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RKG declares that he has no competing interests.

Head

Department of Endocrinology

Centre Hospitalier Universitaire de Bordeaux

Pessac

France

利益冲突披露
AT declares that he has no competing interests.

Department of Endocrinology

Centre Hospitalier Universitaire de Bordeaux

Pessac

France

利益冲突披露
BGC declares that she has no competing interests.

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