严重低血糖伴甲状腺危象。
Severe hypoglycemia accompanied with thyroid crisis.
作者信息
Nakatani Yuki, Monden Tsuyoshi, Sato Minoru, Domeki Nozomi, Matsumura Mihoko, Banba Nobuyuki, Nakamoto Takaaki
机构信息
Department of Endocrinology and Metabolism, Dokkyo Medical University School of Medicine, 880 Kitakobayashi, Mibu, Tochigi 321-0293, Japan ; Department of Diabetes & Endocrinology, Dokkyo Medical University Nikko Medical Center, 632 Takatoku, Nikko-shi, Tochigi 321-2593, Japan.
出版信息
Case Rep Endocrinol. 2012;2012:168565. doi: 10.1155/2012/168565. Epub 2012 Nov 4.
We report a 32-year-old Japanese women with severe hypoglycemia accompanied with thyroid crisis. She complained of dyspnea, general fatigue, and leg edema. She was diagnosed with hyperthyroidism with congestive heart failure and liver dysfunction. Soon after admission, sudden cardiopulmonary arrest occurred. She was then transferred to the intensive care unit. Her serum glucose level was 7 mg/dl. Intravenous glucose, hydrocortisone, diuretics, and continuous hemodiafiltration (CHDF) saved her. We considered that hypoglycemia occurred due to heart failure and liver dysfunction due to thyroid crisis.
我们报告一名32岁的日本女性，伴有甲状腺危象并出现严重低血糖。她主诉呼吸困难、全身乏力和腿部水肿。她被诊断为甲状腺功能亢进症合并充血性心力衰竭和肝功能不全。入院后不久，她突然发生心肺骤停。随后她被转入重症监护病房。她的血清葡萄糖水平为7毫克/分升。静脉注射葡萄糖、氢化可的松、利尿剂和持续血液透析滤过（CHDF）挽救了她的生命。我们认为低血糖是由于甲状腺危象导致的心力衰竭和肝功能不全引起的。
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