外科创伤对大多数病人可引起血浆皮质类固醇很快地显著增高。在肝脏正常的病人,手术后24小时血浆17—羟皮质类固醇开始下降,在一周内恢复正常。血吸虫病肝纤维化病人,尤以晚期患者,肝脏对血浆17—羟皮质类固醇的转换代谢率和结合率均甚缓慢并伴有肾上腺皮质分泌减退。长期皮质功能减退的血吸虫病人,他的肾上腺对外科手术的反 Surgical trauma can rapidly and significantly increase plasma corticosteroids in most patients. In normal liver patients, plasma 17-hydroxycorticosteroid levels begin to decline 24 hours after surgery and return to normal within a week. Schistosomiasis patients with liver fibrosis, especially in advanced patients, hepatic plasma 17-hydroxy corticosteroid conversion metabolic rate and binding rate are very slow and accompanied by adrenal secretion decline. Long-term cortical dysfunction in schistosomiasis patients, his adrenal gland against surgery