临床危象汇总(国外英文资料).doc

临床危象汇总 Shi xiaoming of the south China medical school Clinical crisis summary Clinical crisis, the critical sign of disease, is seen in the clinical department. The identification and treatment of crisis is an important part of emergency medicine. Endocrine metabolism 1.1 pituitary crisis: the crisis is decreased pituitary function disorder without system, regular hormone replacement therapy in a variety of metabolic disorders and organs function disorder, is one of a life-threatening emergency and severe cases. Diagnosis: pituitary function decline, infection, trauma, surgery, such as stress, severe metabolic disorders (low blood sodium, low blood sugar), mental symptoms (mental disorder, confusion, delirium), coma. Rescue measures: more caused by low blood sugar and/or hyponatremia, emphasize quickly correct hypoglycemia, water electrolyte disorder, quickly replenish related to lack of hormones, at the same time actively control the inducing factors, deal with complications. Thyroid crisis: a hyperthyroidism, or thyroid storm, is an acute and extremely severe and often life-threatening condition of hyperthyroidism. Diagnosis: Graves disease, thyroid neoplasia or more patients with nodular goiter, sudden high fever, sweating, and tachycardia ( 39 ℃) ( 160 times/min), frequent vomiting and diarrhoea, anxiety, tremor, delirious speech, coma. Rapid rescue measures: inhibit the synthesis and secretion of thyroxine (anti-thyroid drugs and iodine), quickly lower thyroid hormone levels in the circulating blood (plasma exchange, dialysis), reduce the surrounding tissue reaction to thyroxine (beta 2 adrenergic blockers, reserpine or guanidine b organism), protect important viscera, prevention and cure function failure (antipyretic and glucocorticoid or artificial hibernation). 1.3 hypothyroidism crisis: referred to as JiaJian crisis, also called myxedema coma, is a kind of low thyroid function decompensation severe clinical state, threatening patients life. Diagnosis: JiaJi