慢性酒精中毒假性皮质醇增多症一例

Hypercortisolism Caused by Alcohol Abuse: A Case Report

摘要: 目的：探讨慢性酒精中毒假性皮质醇增多症的临床特征、辅助检查、诊治方法和预后。方法：对1例慢性酒精中毒导致假性皮质醇增多及其他并发症的病例进行临床特点、实验室检查、影像学特点研究。结合文献分析本病的临床表现、实验室指标及治疗转归。结果：慢性酒精中毒很少导致皮质醇增多，常导致电解质紊乱、周围神经损害、肝功能损害等。结论：慢性酒精中毒患者需完善皮质醇检查及其他常见并发症的筛查，及时戒酒，补充大量维生素，改善预后。

Abstract: Objective: To investigate the clinical features, auxiliary examination, diagnosis and treatment, and prognosis of pseudocortisol in chronic alcoholism. Methods: A patient with pseudocortisol and other complications caused by chronic alcoholism was selected to investigate the clinical characteristics, laboratory examination and imaging characteristics. The clinical manifestations, laboratory parameters and treatment outcome were analyzed. Results: Chronic alcoholism rarely leads to the increase of cortisol, and often leads to electrolyte disorder, peripheral nerve damage, liver function damage and so on. Conclusion: The patients with chronic alcoholism need to improve the screening of cortisol examination and other common complications, quit drinking in time, supplement a lot of vitamins, and improve the prognosis.