经尿道前列腺电切术后急性肾上腺皮质功能低下12例临床分析

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20d。随访4也0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。

Acute adrenal insufficiency after transurethral resection of prostate (a report on 12 cases)

Objective To improve the diagnosis and therapy of acute adrenal insufficiency after transurethral resection of prostate. Methods 12 cases who suffered from acute adrenal insufficiency after transurethral resection of prostate were analyzed. Results All the 12 patients were correctly diagnosed through the symptoms and the examination of plasma cortisol level. They were cured by 20mg dexamethasone or 200mg hydrocortisone injected intravenously per day for 2-7 days. No one recurred with the follow-up of 4-20 months' duration. Conclusion For the aged patients who suffer from acute adrenal insufficiency after transurethral resection of prostate, early diagnosis and therapy results in early recovery.