1例入住ICU的42岁肾上腺皮质危象女性患者在氢化可的松治疗开始后出现急性心肺功能衰竭。心电图检查显示左室射血分数显著降低。此外,还出现ECG严重异常伴广泛性ST段抬高和Q RS波幅降低,而肌钙蛋白I水平仅适度增高。胸部X线检查显示双侧肺水肿。该患者的病情最终发展至呼吸衰竭和心源性休克,需接受儿茶酚胺类药物和机械通气支持。1周后,患者完全康复。 One 42-year-old female adrenal cortex crisis admitted to ICU developed acute cardiopulmonary failure after hydrocortisone treatment was initiated. ECG examination showed a significant reduction of left ventricular ejection fraction. In addition, severe ECG abnormalities with extensive ST-segment elevation and Q-RS amplitude reduction also occurred, whereas troponin I levels were modestly elevated. Chest X-ray examination showed bilateral pulmonary edema. The patient’s condition eventually progressed to respiratory failure and cardiogenic shock requiring catecholamines and mechanical ventilation support. After 1 week, the patient recovered completely.