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中华腔镜泌尿外科杂志(电子版) ›› 2026, Vol. 20 ›› Issue (01) : 84 -88. doi: 10.3877/cma.j.issn.1674-3253.2026.01.012

临床研究

肾上腺术后肾上腺危象诊疗分析
霍颖钊, 刘创明, 梁任()   
  1. 527200 广东,罗定市人民医院泌尿外科
  • 收稿日期:2025-05-19 出版日期:2026-02-01
  • 通信作者: 梁任

Analysis of diagnosis and treatment of adrenal crisis after adrenal surgery

Yingzhao Huo, Chuangming Liu, Ren Liang()   

  1. Department of Urology, Luoding People's Hospital, Guangdong 527200, China
  • Received:2025-05-19 Published:2026-02-01
  • Corresponding author: Ren Liang
引用本文:

霍颖钊, 刘创明, 梁任. 肾上腺术后肾上腺危象诊疗分析[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2026, 20(01): 84-88.

Yingzhao Huo, Chuangming Liu, Ren Liang. Analysis of diagnosis and treatment of adrenal crisis after adrenal surgery[J/OL]. Chinese Journal of Endourology(Electronic Edition), 2026, 20(01): 84-88.

目的

总结单侧肾上腺术后肾上腺危象的诊断与治疗。

方法

回顾性分析我院2018年1月至2023年6月出现的12例肾上腺术后肾上腺危象患者的临床数据。

结果

12例患者中肾上腺增生1例、醛固酮瘤2例、腺瘤合并库欣综合征1例,无功能腺瘤7例、肾上腺囊肿合并出血1例。所有患者均行腹腔镜下单侧肾上腺手术,其中肾上腺切除11例、肾上腺肿瘤切除1例;均在术后48小时内出现肾上腺危象,经补充糖皮质激素、补液扩容及纠正电解质紊乱等治疗后,所有患者均治愈出院。

结论

单侧肾上腺术后无论肿瘤是否具有功能均可发生肾上腺危象,高危期为48 h内。早期识别并及时治疗,预后良好。

Objective

To summarize the diagnosis and treatment of adrenal crisis after unilateral adrenal surgery.

Methods

The clinical data of 12 patients with adrenal crisis after adrenal surgery from January 2018 to June 2023 in our hospital were retrospectively analyzed.

Results

Among the 12 patients, there were 1 case of adrenal hyperplasia, 2 cases of aldosteronomas, 1 case of adenoma with Cushing's syndrome, 7 cases of non-functional adenomas, 1 case of adrenal cyst with hemorrhage. All patients underwent laparoscopic unilateral adrenal surgery, with 11 cases of adrenal resection and 1 case of adrenal tumor resection. Adrenal crisis occurred within 48 hours after surgery in all patients. All patients were cured and discharged after treatment with glucocorticoid supplementation, fluid resuscitation and correction of electrolyte disturbances.

Conclusion

Adrenal crisis can occur after unilateral adrenalectomy regardless of tumor functionality, with the high-risk period being within 48 hours postoperatively. Early recognition and timely treatment lead to favorable prognosis.

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