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青少年先天性肾上腺皮质增生症的研究进展

张明衬 张改秀

中国全科医学2017,Vol.20Issue(18):2289-2293,5.
中国全科医学2017,Vol.20Issue(18):2289-2293,5.DOI:10.3969/j.issn.1007-9572.2017.18.026

青少年先天性肾上腺皮质增生症的研究进展

Recent Advances in the Management of Adolescents with Congenital Adrenal Hyperplasia

张明衬 1张改秀2

作者信息

  • 1. 030001 山西省太原市,山西医科大学研究生院
  • 2. 030001 山西省太原市,山西省儿童医院内分泌科
  • 折叠

摘要

Abstract

Congenital adrenal hyperplasia is a kind of autosomal recessive disease due to the lack of specific enzyme in the synthesis of corticosteroids.Its symptoms result from reduced glucocorticoid and mineralocorticoid and excess androgen.Adolescents with endocrine disturbance,poor treatmentcompliance,and non-standardized treatment,can develop short stature,decreased fertility,cardiovascular disease risk,decreased bone density and other adverse clinical features.Before epiphyseal closure,the therapy goal is focus on ensuring the normal growth by fully inhibiting thesecretion of male hormone and controlling the development of masculine features.When the growth is completed,the goal of treatment is transformed into suppression of androgen production and prevention of long-term adverse outcomes.

关键词

肾上腺皮质疾病/青少年/综述

Key words

Adrenal cortex diseases/Adolescent/Review

分类

医药卫生

引用本文复制引用

张明衬,张改秀..青少年先天性肾上腺皮质增生症的研究进展[J].中国全科医学,2017,20(18):2289-2293,5.

中国全科医学

OA北大核心CSTPCD

1007-9572

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