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目的提高经尿道前列腺电切术后急性肾上腺皮质功能低下的诊治水平。方法回顾性分析12例患者行经尿道前列腺电切术后的临床表现及诊治经过。结果根据临床表现并检测血皮质醇浓度,12例患者均确诊为肾上腺皮质功能低下,经静注地塞米松20MG/D或静滴琥珀酸氢化可的松200MG/D均治愈,疗程2-7D。随访4-20个月,平均13个月,均未复发。结论对于老年男性患者行经尿道前列腺电切术后,应警惕发生急性肾上腺皮质功能低下的可能,早期应用地塞米松或琥珀酸氢化可的松有利于及早诊治。
Objective To improve the diagnosis and treatment of acute adrenocortical hypofunction after transurethral resection of prostate. Methods Retrospective analysis of 12 patients after transurethral resection of prostate clinical manifestations and diagnosis and treatment after. Results According to the clinical manifestations and detection of blood cortisol concentrations, 12 patients were diagnosed as adrenal insufficiency, intravenous dexamethasone 20MG / D or intravenous infusion of hydrocortisone succinate 200MG / D were cured, the treatment 2-7D . Follow-up 4-20 months, an average of 13 months, no recurrence. Conclusions After transurethral resection of the prostate in elderly men, caution should be exercised to prevent the development of acute adrenal insufficiency. Early use of dexamethasone or hydrocortisone succinate may facilitate early diagnosis and treatment.