甲亢危象（Hyperthyroidism crisis）.docVIP

甲亢危象（Hyperthyroidism crisis） Two, the clinical manifestations of hyperthyroidism crisis general prodromal period: the patient sweating, irritability, lethargy, nausea, anorexia, diarrhea. Body temperature at 39 DEG C, tachycardia, heart rate of 120 beats / min 160 beats per minute, if not timely treatment can quickly enter the crisis. The patient of crisis of extreme panic, at a temperature of 39 DEG C, sweating, tachycardia, heart rate at 160 times / min, arrhythmia, heart failure; frequent vomiting, diarrhea, jaundice, fast dehydration, delirium, coma, died of shock, heart failure, water and electrolyte disorders. Apathetic hyperthyroidism crisis is not typical, which is characterized by apathy, lethargy, fever or fever, low reaction, severe weakness, extreme weight loss, heart rate slow, pulse pressure is small; exophthalmos and goiter is not obvious, often in a coma and death. Three, prevention and control measures to actively and rationally control hyperthyroidism and prevent the occurrence of crisis can prevent or reduce the occurrence of crisis. Causes of medical crisis are mainly infection, stress, inappropriate cessation of antithyroid drugs, not prepared iodine 131 treatment; surgical crisis, mainly preoperative preparation, surgery, uncontrolled hyperthyroidism caused by stress. Early diagnosis and timely treatment are closely related to prognosis. Therefore, it is important to emphasize the diagnosis and treatment of pre crisis. Emergency treatment of hyperthyroidism crisis include: 1. rapid inhibition of thyroid hormone synthesis: choice of propylthiouracil 300 mg orally every 6 hours or 1 times of nasal feeding, or methimazole 30 mg every 6 hours for 1 times. Large doses of thiourea can block thyroxine synthesis within 1 hours. 2. rapid inhibition of thyroid hormone releasing: usually sodium iodide intravenous or oral compound iodine solution. The application of iodine agent should pay attention: one is the iodine agent should be simultaneously used in