引言急性肾上腺皮质功能不全,亦名为肾上腺危象(Adrenal Crisis),早在1911年华脱郝斯(waterhouse)氏及1928年佛兰地维启逊(Friderichsen)氏报告暴发性脑膜炎并发紫斑及22例肾上腺出血,认为其肾上腺功能不全,与该病症状及猝死有关系。嗣后在外科领域中,1954年Campbell氏转载董斐(Dunphy)氏报告一例结肠癌患者,手术后发生肾上腺危象而死亡;及谟利(moore)氏报告一例严重动脉硬化症,于腰交感神经切除术后,发生急性肾 INTRODUCTION Acute adrenocortical insufficiency, also known as Adrenal Crisis, was reported as early as 1911 by Waterhouse and Friderichsen in 1928 with fulminant meningitis and purple plaques 22 cases of adrenal hemorrhage, that adrenal insufficiency, and the disease symptoms and sudden death have a relationship. Later in the surgical field, Campbell’s 1954 Dunrell reported one patient with colon cancer who died of an adrenal crisis after the operation; and moore’s reported a case of severe arteriosclerosis at the lumbar sympathetic nerve After the resection, acute kidney occurs