Hyperthyroidism and Thyrotoxicosis
Hyperthyroidism and Thyrotoxicosis
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DOI：
10.1016/j.emc.2013.12.001
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发表时间：
2014-05-01
影响因子：
1.2
通讯作者：
Tewelde, Semhar Z.
中科院分区：
文献类型：
--
作者：
Devereaux, Danielle;Tewelde, Semhar Z.
甲状腺功能亢进症和甲状腺毒症是引起显著发病率和死亡率的高代谢疾病。诊断可能很困难，因为症状可以模仿许多其他疾病状态，导致诊断和管理不准确或不及时。甲状腺风暴是甲状腺毒症最严重的形式，其特征是感觉改变，如果不治疗，与显著的死亡率相关。任何精神状态改变的病人都应考虑甲状腺风暴。能迅速识别甲状腺毒症，识别突发事件，适当全面地开始医疗管理，并便于处置的急诊医师无疑将挽救生命。
Hyperthyroidism and thyrotoxicosis are hypermetabolic conditions that cause significant morbidity and mortality. The diagnosis can be difficult because symptoms can mimic many other disease states leading to inaccurate or untimely diagnoses and management. Thyroid storm is the most severe form of thyrotoxicosis, hallmarked by altered sensorium, and, if untreated, is associated with significant mortality. Thyroid storm should be considered in the differential of any patient presenting with altered mental status. The emergency medicine physician who can rapidly recognize thyrotoxicosis, identify the precipitating event, appropriately and comprehensively begin medical management, and facilitate disposition will undoubtedly save a life.