"腰椎椎管减压"术后肾上腺危象致呼吸机脱机困难一例  

One case report of adrenal crisis with difficulty in weaning after lumbar spinal canal decompression surgery

作　　者：张群慧 姚莉[1] Zhang Qunhui;Yao Li(Department of Critical Medicine,Hefei Second People’s Hospital 230011)

机构地区：[1]合肥市第二人民医院重症医学科,合肥230011

出　　处：《中华内分泌外科杂志》2023年第3期380-381,共2页Chinese Journal of Endocrine Surgery

摘　　要：肾上腺危象(adrenocortical crisis,AC)是一种内分泌急症,常发生于感染、休克、外伤或外科手术后,如处理不及时,可危及患者生命。但因该病不常见,临床症状不典型,易被误诊、漏诊。本文病例为一"腰椎椎管减压"术后患者,术后出现意识模糊、氧合下降,无法脱离呼吸机,临床表现极不典型。Adrenocortical crisis(AC)is a kind of endocrine emergency,often occurs in infection,shock,trauma,or postoperative,if the processing is not handling timely,can endanger patient's life.But as the disease is not common and the clinical symptoms are not typical,so it is easy to be misdiagnosis and missed diagnosis.This case was a"lumbar spinal canal decompression surgery"patient,who appeared postoperative confusion,oxygenation decline,and could not seperated from breathing machine,clinical manifestations were atypical.

关 键 词：肾上腺危象 腰椎椎管减压术 

分 类 号：R687.3[医药卫生—骨科学]