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胰岛素瘤合并继发性肾上腺皮质功能不全一例

A case of insulinoma complicated with secondary adrenal insufficiency
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摘要 一例中年男性反复发生低血糖的患者,经过各项相关检查诊断为胰岛素瘤。患者促肾上腺皮质激素和皮质醇水平低,推测存在继发性肾上腺皮质功能不全,补充糖皮质激素后行胰岛素瘤切除术。术后停激素替代疗法,患者促肾上腺皮质激素和皮质醇水平正常,生理节律恢复。 A middle-aged male patient with recurrent hypoglycemia was diagnosed as insulinoma according to the symptoms and the laboratory tests. Laboratory tests also showed low cortisol and adrenocortico-tropic hormone (ACTH) levels, therefore adrenal insufficiency was diagnosed and hydrocortisone was given. The hormone replacement therapy was terminated after surgery, and ACTH and cortisol levels returned to normal.
作者 李瑶 陈慧 LI Yao, CHEN Hui(Department of Endocrinology, the Second Hospital of Lanzhou University, Lanzhou 730030, Chin)
出处 《浙江大学学报(医学版)》 CAS CSCD 北大核心 2017年第6期662-665,共4页 Journal of Zhejiang University(Medical Sciences)
关键词 胰岛素瘤/外科学 低血糖症 肾上腺功能减退/并发症 病例报告 Insulinoma/surgery Hypoglycemia Adrenal insufficiency/complications Case reports
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