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1、·228·中国综合临床2005年3月第21卷第3期ClinicalMedicineofChina,March,2005,Vol21,No.3nantsofelevatedurinaryalbuminexcretioninPimaIndianswithduringlong2termsimvastatintreatment[J].DiabetesCare,1997,20NIDDM[J].DiabetesCare,1995,18(2):1822187.(12):189121895.[5]GallMA,HougaardP,Borch2JohnsenK,etal.Riskfactorsfor
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5、.(本文编辑代小菊)[8]TonoloG,CiccareseM,BrizziP,etal.Reductionofalbuminexcre2tionrateinnormotensivemicroalbuminurictype2diabeticpatients·论著·原发性肾上腺皮质功能减退症20例临床分析王晓明何岚高烨【摘要】目的探讨原发性肾上腺皮质功能减退症的临床特点及诊疗措施。方法对20例原发性肾上腺皮质功能减退症患者的临床资料进行回顾性分析。结果20例患者中13例为结核性,5例为特发性,2例为肾上腺切除术后;临床表现中以皮肤色素沉着较特异;非特异性症状出现早,且较常见。确诊有赖
6、于皮质醇测定及快速促肾上腺皮质激素兴奋试验,其他激素及生化指标也有改变。结核性患者肾上腺CT以增生、钙化为主要表现。结论确诊后给予泼尼松替代治疗,应激状态下应加大剂量,避免发生危象。【关键词】原发性肾上腺皮质功能减退症;泼尼松【中图分类号】R586.1【文献标识码】A【文章编号】100826315(2005)0320228203Clinicalanalysisof20casesofprimaryadrenocorticalinsufficiency.WangXiaoming,HeLan,GaoYe.Depart2mentofEndocrinology,TheFirstHospita
7、lofXi′anJiaotongUniversity(Xi′an710061,China)【Abstract】ObjectiveTostudytheclinicalfeaturesofprimaryadrenocorticalinsufficiencyanditstreat2ment.MethodsClinicaldataof20casesofprimaryadrenocorticalinsufficiencywereretrospectivelyanalyzed.R
