Dietrich J W
Medizinische Klinik I, BG Universitätsklinikum Bergmannsheil GmbH, Ruhr-Universität Bochum, Bürkle-de-la-Camp-Platz 1, 44789, Bochum, Deutschland.
Med Klin Intensivmed Notfmed. 2012 Sep;107(6):448-53. doi: 10.1007/s00063-012-0113-2. Epub 2012 Aug 11.
Thyroid storm is a complicated, life-threatening form of thyrotoxicosis. The causes are multifactorial and elevated iodothyronine levels are only one of many components. Usually, the transition from thyrotoxicosis to thyroid storm is ignited by non-thyroidal triggers. This is a rare condition observed with an incidence between 0.8 and 1.4 cases per 100,000 inhabitants. Diagnosis relies primarily on clinical criteria. Multimodal therapy aims at disrupting positive feedback loops between elevated levels of free T3 or T4 and their effects on target tissues and organs. Timely diagnosis and therapy help to reduce mortality to below 35%.
甲状腺危象是一种复杂的、危及生命的甲状腺毒症形式。其病因是多因素的,碘甲状腺原氨酸水平升高只是众多因素之一。通常,从甲状腺毒症转变为甲状腺危象是由非甲状腺触发因素引发的。这是一种罕见病症,发病率为每10万居民中有0.8至1.4例。诊断主要依靠临床标准。多模式治疗旨在打破游离T3或T4水平升高与其对靶组织和器官的影响之间的正反馈循环。及时诊断和治疗有助于将死亡率降至35%以下。