Brunette D D, Rothong C
Department of Emergency Medicine, Hennepin County Medical Center, Minneapolis, MN 55415.
Am J Emerg Med. 1991 May;9(3):232-4. doi: 10.1016/0735-6757(91)90083-v.
A previously healthy 26-year-old woman presented to the emergency department complaining of a severe, throbbing, and bifrontal headache. Initial vital signs were pulse rate, 130 beats/min; blood pressure, 128/50 mm Hg; temperature, 100.1 degrees F. Shortly thereafter the patient's pulse and temperature increased to 170 beats/min and 103 degrees F, respectively. Physical examination showed a tremulous, anxious woman in moderate distress who had a diffusely and symmetrically enlarged thyroid gland. A diagnosis of thyrotoxic crisis was made, and appropriate therapy instituted, including the use of an esmolol infusion for control of hypersympathetic activity. A review of the clinical presentation, diagnosis, and management of thyrotoxic crisis is presented.
一名既往健康的26岁女性因严重、搏动性双侧额部头痛就诊于急诊科。初始生命体征为：脉搏130次/分；血压128/50 mmHg；体温100.1华氏度。此后不久，患者的脉搏和体温分别升至170次/分和103华氏度。体格检查发现一名震颤、焦虑的女性，中度痛苦，甲状腺弥漫性对称性肿大。诊断为甲状腺毒症危象，并采取了适当的治疗措施，包括使用艾司洛尔静脉滴注以控制交感神经过度活动。本文介绍了甲状腺毒症危象的临床表现、诊断和管理。
