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交通伤、高处坠落伤、创伤性应激、创伤后严重感染及外科手术等均可导致肾上腺出血,其临床表现较为隐匿,又多合并胸腔脏器、腹腔脏器、腹膜后等脏器的损伤,容易被漏诊。其主要依靠超声、CT、磁共振成像等影像学检查进行诊断;应根据出血量多少、发病缓急、单侧还是双侧进行手术探查或非手术治疗,还应考虑到合并脏器的损伤,以及患者血流动力学稳定性等。创伤性肾上腺出血经积极治疗后多数预后良好,但如果合并其他脏器严重创伤则病死率较高。
Traumatic injury, fall injuries from height, traumatic stress, severe infection after trauma and surgery can all lead to adrenal hemorrhage. Its clinical manifestations are more obscure and more complicated with thoracic organs, abdominal organs and retroperitoneal organs Injury, easily missed diagnosis. Its mainly rely on ultrasound, CT, magnetic resonance imaging and other imaging diagnosis; should be based on how much bleeding, the incidence of emergency, unilateral or bilateral surgical exploration or non-surgical treatment, should also consider the combined organ damage, and Patient hemodynamic stability and so on. Most active traumatic adrenal hemorrhage after the prognosis is good, but if combined with other organ serious trauma, the case fatality rate is higher.