Problem description: Hypercortisolism, after adrenal surgery, taking prednisone, the diversion port has not been long, stop taking this month on the 2nd, on the 4th, weakness, vomiting, drowsiness, how
Question date:2021-05-08
Patient information:Age: 62 years old Gender: Female
Problem analysis : I don’t know how long it has been since the operation? What dose of hormones should be taken after surgery? Because of the long-term increase in cortisol in Cushing’s syndrome, it will definitely affect wound repair. The other is the hormones used after the operation, which cannot be stopped all at once, which will lead to a lack of glucocorticoids, causing symptoms such as fatigue, nausea and vomiting. Another is that Cushing’s syndrome is usually associated with high blood sugar, which may also affect wound healing.
Guide suggestions: 1. It is recommended to go to the Endocrinology Department of a tertiary hospital to see how to use glucocorticoids.
2. If blood sugar is high, control blood sugar.
3. In some endocrinology departments, like our hospital, there will be doctors specializing in diabetic foot. If not, you can go to the burn department or special refractory wound center to see how the wound is handled.
Recommendations are for reference only. If the problem is serious, please go to the hospital for detailed inspection