What about the severity of hypercortisolism?

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What about the severity of hypercortisolism? Hypercortisolism, also known as Cushing's syndrome, is a disease caused by a variety of causes. What should be the treatment for patients with hyperepitheliosis? What are the nursing methods of cortisol increase? Today, Xiao Bian will answer for you one by one. If you want to know, take a look.

What about the severity of hypercortisolism?

Pituitary radiotherapy is also an adjuvant therapy. It is mainly used for those who are not satisfied with the curative effect of pituitary surgery and do not want to operate again. The dose is 4000-5000 cgyy. Some patients need to be irradiated for one to one and a half years to correct the hypersecretion of cortisol. For adrenal tumor or ectopic ACTH tumor, local radiotherapy can be used.

In the early 1970s, when suffering from hypertrophic epithelia, transnasal transsphenoidal pituitary adenoma resection was performed, and the effective rate was 80%, but 10% of patients may have recurrence. In addition, patients may have transient adrenal insufficiency after surgery.

Cortisol should be given before adrenalectomy or bilateral adrenalectomy to avoid acute adrenal crisis after adrenalectomy. Cortisone acetate 100mg was injected intramuscularly 12 hours and 2 hours before operation, hydrocortisone 200-300mg was given within 24 hours after operation, then gradually reduced (150mg, 100mg, 50mg, 20mg), and then changed to oral prednisone 10-20mg every day, The maintenance dose was 5-10mg for 6-12 months.

matters needing attention

Observe mental symptoms and prevent accidents. When patients are restless, excited or depressed, they should pay attention to strict care, prevent falling into bed, protect patients with bed block or restraint belt, and should not place dangerous goods around patients, avoid irritating words and deeds. They should be patient and careful, and care more.