浅谈垂体肾上腺疾病.pptVIP

库欣综合症诊断的确立 Does the Patient Have Cushing’s Syndrome? Urinary free cortisol excretion Low-dose dexamethasone suppression test(LDDST) Circadian rhythm of plasma cortisol 第二十六页，编辑于星期三：二十三点 三十分。 库欣综合症病因的确定 What is the cause of the Cushing’s syndrome? Plasma ACTH Plasma potassium,bicarbonate High-dose dexamethasone suppression test(HDDST) Metyrapone test Corticotropin-releasing hormone Inferior petrosal sinus sampling(IPSS) CT,MRI scanning of pituitary, adrenals Scintigraphy(SRS、131I-labeled 6-iodomethyl-19-norcholesterol) Tumor