糖尿病及内分泌急症
Diabetic and endocrine emergencies.
作者信息
Kearney T, Dang C
机构信息
Hope Hospital, Stott Lane, Salford M6 8HD, UK.
出版信息
Postgrad Med J. 2007 Feb;83(976):79-86. doi: 10.1136/pgmj.2006.049445.
Abstract
Endocrine emergencies constitute only a small percentage of the emergency workload of general doctors, comprising about 1.5% of all hospital admission in England in 2004-5. Most of these are diabetes related with the remaining conditions totalling a few hundred cases at most. Hence any individual doctor might not have sufficient exposure to be confident in their management. This review discusses the management of diabetic ketoacidosis, hyperosmolar hyperglycaemic state, hypoglycaemia, hypercalcaemia, thyroid storm, myxoedema coma, acute adrenal insufficiency, phaeochromocytoma hypertensive crisis and pituitary apoplexy in the adult population.
摘要
内分泌急症仅占全科医生急诊工作量的一小部分，在2004 - 2005年的英格兰，约占所有住院病例的1.5%。其中大多数与糖尿病相关，其余病症总计最多几百例。因此，任何一名医生可能都没有足够的接触机会来对这些病症的管理充满信心。本综述讨论了成人糖尿病酮症酸中毒、高渗高血糖状态、低血糖症、高钙血症、甲状腺危象、黏液性水肿昏迷、急性肾上腺功能不全、嗜铬细胞瘤高血压危象和垂体卒中的管理。
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