甲状腺危象和危象前期32例临床分析

Clinical analysis of 32 cases of the earlier period diagnosis and therapy of thyroid crisis

目的提高对甲状腺危象(甲亢危象)的早期诊断和治疗水平,减少误诊率和死亡率。方法通过对32例甲亢危象和危象前期患者的发病诱因、多样化临床表现及延误诊断的原因进行分析。结果29例甲亢危象和危象前期得到及时诊断和合理治疗,抢救成功,3例甲亢危象分别合并重度妊娠高血压综合征及甲状腺功能亢进性心脏病阿斯综合征和糖尿病酮症酸中毒死亡。结论及时对甲亢危象前期及危象期患者明确诊断,予以积极治疗抢救,及时去除诱因,是降低甲亢危象死亡的有效方法。

Objective To increase the level of the earlier period diagnosis and therapy,reconciliation of the thyroid storm,reduce the misdiagnosis rate and death rate.Methods Analysed the outbreak inducement,diverse clinical performance of the former sufferer of period and the reason of the delay diagnoses of the danger to 32 thyroid storms.Results 29 thyroid storms gets with the ex-period in evidence of the danger on time diagnose and reasonable treatment,rescue success,3 thyroid storms merges respectively severe PIH and hyperthyroidism heart attack Aase and diabetes mellitus ketosis acidosis death.Conclusion On time to the clear and definite diagnose in sufferer in period in evidence between ex-period in Thyroid storm and danger,give the positive treatment rescues,on time do away with the inducement,is a valid method to lower thyroid storm die.