各种危象抢救（Various crisis rescue）.docVIP

各种危象抢救（Various crisis rescue） Share 2011 new features, cattle Bos share, return to the previous page, the last one, the next cattle sharing log, clinical crisis summary, the day before yesterday 22:08 Good First time share Autumn tree Avril First sharing time October 28th 00:34 Clinical crisis summary share Author: Li Dai has been shared 17 comments (0) copy links, share reports Clinical crisis, the critical sign of disease, is found in clinical departments. Identification and treatment of crisis is an important part of critical care medicine. 1 endocrine and metabolic system 1.1 pituitary crisis: this crisis is a variety of metabolic disorder and dysfunction of organ dysfunction caused by hypopituitarism and normal hormone replacement therapy. It is one of the life-threatening and severe cases. Diagnostic points: Patients with hypopituitarism suffer from severe stress, such as infection, trauma, surgery, and severe metabolic disorder (hyponatremia, hypoglycemia), mental symptoms (mental disorders, unconsciousness, delirium), coma. Rescue measures: Most of them are caused by hypoglycemia and / or hyponatremia. It emphasizes the rapid correction of hypoglycemia, water electrolyte disorders, rapid supplementation of related hormones, and active control of predisposing factors and treatment of complications. 1.2 thyroid crisis Referred to as hyperthyroidism crisis, or thyroid storm, hyperthyroidism is an acute exacerbation of the disease, often dangerous and patient life Diagnostic points: Graves disease, thyroid adenoma or nodular goiter patients, sudden high fever ( 39 C), sweating, tachycardia ( 160 /min), frequent vomiting and diarrhea, anxiety, tremor, delirium, coma. Rescue measures: Rapid inhibition of thyroid hormone synthesis and secretion (by anti thyroid drugs, iodine), thyroid hormone levels decreased rapidly in circulating blood (plasma exchange, dialysis), reduce the reaction around the organization of thyroxine (beta 2 adrenergic blocking agent, reserpin