A Case of Improved Adrenal Insufficiency with Corticostreoid Treatment, Secondary to Adrenal Hemorrhage
Journal of the Korean Society of Neonatology
;
: 176-180, 2000.
Artigo
em Coreano
| WPRIM
| ID: wpr-49081
ABSTRACT
The large size and vascularity of the neonatal adrenal glands are vulnerable to traumatic and asphyxial injuries. This condition varies in presentation, which the most common is an abdominal mass alone or mass with jaundice and anemia. Some infants show signs of adrenal insufficiency. Abdomial ultrasonogram is the most valuable diagnostic tool. To result in adrenal insuffiency, hemorrhage must involve both adrenals and at least 90% of the adrenocortical tissue must be destroyed. To affect infant may show signs of hypovolemic shock, electrolyte imbalance and metabolic acidosis. Treatment for adrenal insufficiency must be immediate and vigorous, and consists of intravenous glucose, fluid, and electolyte replacement. And conservative treatment failure is candidate for steroid replacement. We experienced a case of bilateral hemorrhage with adrenal insufficiency, who improved with hydrocortisone.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Choque
/
Acidose
/
Hidrocortisona
/
Ultrassonografia
/
Falha de Tratamento
/
Insuficiência Adrenal
/
Glândulas Suprarrenais
/
Glucose
/
Hemorragia
/
Anemia
Tipo de estudo:
Estudo diagnóstico
Limite:
Humanos
/
Lactente
Idioma:
Coreano
Revista:
Journal of the Korean Society of Neonatology
Ano de publicação:
2000
Tipo de documento:
Artigo
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