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慢性肾上腺皮质功能减退,尤其隐匿型,在应激后发生危象者易被误诊、漏诊。笔者从1972～1987年收治19例,初诊时全部误诊、漏诊。现将记录完整的6例报告如下: 例1:误诊为肺性脑病患者女性,62岁,农民。半月来,精神萎靡,懒言少语。纳差、恶心、频繁呕吐。咳嗽,气喘,不能下床。诊为肺性脑病,于1974年12月4日入院。有慢性咳喘病史26年。自服泼尼松,每日30毫克,已3年之久。查体:体温37.5℃,脉搏109次/分,血压11/6.7 kPa(88/50毫米汞柱)。嗜睡,对外界反映差,
Chronic adrenocortical dysfunction, especially occult type, in crisis after the crisis prone to be misdiagnosed, missed diagnosis. From 1972 to 1987, the author admitted 19 cases, all misdiagnosis, missed diagnosis. Now report the complete 6 cases are as follows: Example 1: Women misdiagnosed as pulmonary encephalopathy, aged 62, farmer. Half a month, apathetic, lazy words. Anorexia, nausea, frequent vomiting. Cough, asthma, can not get out of bed. Diagnosis of pulmonary encephalopathy, admitted on December 4, 1974. Have a history of chronic cough and asthma for 26 years. Prednisone, 30 mg daily, 3 years. Examination: body temperature 37.5 ℃, pulse 109 beats / min, blood pressure 11 / 6.7 kPa (88/50 mmHg). Lethargy, poor reflect the outside world,