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[内分泌危象]

[Endocrine crises].

作者信息

Bürgi U, Perrig M

机构信息

Klinik und Poliklinik für Allgemeine Medizin, Inselspital, Bern.

出版信息

Ther Umsch. 2005 Jun;62(6):369-73. doi: 10.1024/0040-5930.62.6.369.

Abstract

Pituitary apoplexy, diabetes insipidus, thyroid storm, myxedema coma, parathyrotoxic crisis, hypocalcemia tetany, pheochromocytoma and Addison crisis, diabetic ketoacidosis, diabetic hyperosmolar nonketotic coma, hypoglycemia and carcinoid crisis are the most important endocrine crises. Some of them are common, others very rare. All physicians nevertheless need to have at least a basic knowledge of all of them, since symptoms and signs of endocrine crises overlap with those of other severe disease states, and the failure to recognise endocrine crises as such and to begin rapidly the specific therapy can have fatal consequences.

摘要

垂体卒中、尿崩症、甲状腺危象、黏液性水肿昏迷、甲状旁腺毒性危象、低钙血症性手足搐搦、嗜铬细胞瘤和艾迪生病危象、糖尿病酮症酸中毒、糖尿病高渗高血糖非酮症昏迷、低血糖和类癌危象是最重要的内分泌危象。其中一些较为常见,另一些则非常罕见。然而,所有医生都至少需要对所有这些危象有基本的了解,因为内分泌危象的症状和体征与其他严重疾病状态的症状和体征重叠,未能识别此类内分泌危象并迅速开始特异性治疗可能会产生致命后果。

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