关键词: 冠状动脉疾病, 冠状动脉旁路移植术, 非体外循环, 血管外科手术, 肾上腺皮质, 诊断, 鉴别, 手术后并发症

Abstract: Objective To explore clinical manifestation and related risk factors of adrenal insufficiency after coronary artery bypass grafting；Methods To summary 13 cases with AI after coronary artery bypass grafting,and clinical manifestations, diagnosis , treatment and related risk factors were analyzed;Results The incidence rate of this group was 3.9% , no significant difference in the incidence between men and women,the main clinical manifestations were hyponatremia,vomiting,diarrhea,conscious indifference,fatigue, low blood sugar –based and rare pigmentation.Under hormone replacement therapy,11 patients were cured, 2 cases of patients rely on long-term hormone replacement therapy.By logistic regression analysis, operative time , intraoperative round-robin fashion , postooerative infection correlated with postoperative adrenal insufficiency(p<0.05); Conclusion Adrenal insufficiency may occurred after coronary artery bypass surgery and operation time,cardiopulmonary bypass, postoperative infection were risk factors for the occurrence of AI.And after active treatment,most patients can get better treatment effection.

Key words: 手术后并发症