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This page (revision-7) was last changed on 25-Dec-2012 11:19 by 1614216108

This page was created on 09-Apr-2012 15:12 by UnknownAuthor

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At line 9 changed 3 lines
增多见于：\\
1.皮质醇增多症 Cushing病（垂体ACTH腺瘤或癌）、Cushing综合征（肾上腺增生、腺瘤或癌）、异位ACTH肿瘤。\\
__升高__\\
1.皮质醇增多症：Cushing病（垂体ACTH腺瘤或癌）、Cushing综合征（肾上腺增生、腺瘤或癌）、异位ACTH肿瘤。\\
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__降低__\\
1.肾上腺皮质功能减低：Addison病，血浆ATCH升高，ACTH刺激试验无反应或反应减低。\\
2.先天性肾上腺皮质增生症：21-羟化酶缺陷症、17-羟化酶缺陷症。\\
3.垂体功能减低症：ACTH单独缺乏症、Simmonds-Sheehan综合征。\\
4.医源性皮质功能减低症：长期使用皮质类固醇激素，肾上腺皮质废用性萎缩。\\
5.其它原因：甲状腺功能减退症、肝硬化、肾功能不全等。\\
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减少见于：\\
1.肾上腺皮质功能减低 Addison病，血浆ATCH升高，ACTH刺激试验无反应或反应减低。\\
2.先天性肾上腺皮质增生症 21-羟化酶缺陷症、17-羟化酶缺陷症。\\
3.垂体功能减低症 ACTH单独缺乏症、Simmonds-Sheehan综合征。\\
4.医源性皮质功能减低症 长期使用皮质类固醇激素，肾上腺皮质废用性萎缩。\\
5.其它原因 甲状腺功能减退症、肝硬化、肾功能不全等。\\
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1. 灵敏度和特异性：\\
1. 灵敏度和特异性\\
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2. 干扰因素：\\
2. 干扰因素\\
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须避免使用以下干扰药物\\
(1)使测定值升高的药物:利福平、乙硫异烟胺、乙酰螺旋霉素、三乙酰竹桃霉素、氯霉素、头孢菌素、螺内酯等。\\
(2)使测定值降低的药物:合成皮质类固醇、邻对二氯苯二氯乙烷、红霉素、利血平、卡马西平、苯巴比妥、苯妥英、扑米酮、丙磺舒、喷他佐辛、吗啡。\\
为防止植物色素的干扰，试验前应停服中草药或有色素药物，并停止饮茶1周以上。\\
　　取样前一周，为防止植物色素的干扰，患者应停服中草药或有色素药物。避免使用以下干扰药物，1.使测定值升高的药物:利福平、乙硫异烟胺、乙酰螺旋霉素、三乙酰竹桃霉素、氯霉素、头孢菌素、螺内酯等。2.使测定值降低的药物:合成皮质类固醇、邻对二氯苯二氯乙烷、红霉素、利血平、卡马西平、苯巴比妥、苯妥英、扑米酮、丙磺舒、喷他佐辛、吗啡。\\
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%%tab-注意事项
　　尿液应按规定加入盐酸或甲苯防腐，如不能及时送检，应置于4℃ 冰箱内保存。
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[肾上腺功能]
/%
[尿.肾上腺功能]
Version Date Modified Size Author Changes ... Change note
7 25-Dec-2012 11:19 1.681 kB 1614216108 to previous
6 05-Dec-2012 16:36 1.658 kB 1614216108 to previous | to last 17-羟皮质类固醇 ==> 17-羟皮质类固醇测定
5 05-Dec-2012 16:36 1.658 kB 1614216108 to previous | to last
4 03-May-2012 16:46 1.67 kB 1614216108 to previous | to last
3 25-Apr-2012 11:26 1.655 kB 1614216108 to previous | to last
2 12-Apr-2012 14:13 1.648 kB 1614216108 to previous | to last
1 09-Apr-2012 15:12 1.682 kB UnknownAuthor to last
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