Akamizu Takashi
First Department of Medicine, Wakayama Medical University.
Nihon Rinsho. 2012 Nov;70(11):2000-4.
Thyrotoxic storm is a life-threatening condition requiring emergency treatment. Neither its epidemiological data nor diagnostic criteria have been fully established. We clarified the clinical and epidemiological characteristics of thyroid storm using nationwide surveys and then formulate diagnostic criteria for thyroid storm. To perform the nationwide survey on thyroid storm, we first developed tentative diagnostic criteria for thyroid storm, mainly based upon the literature (the first edition). We analyzed the relationship of the major features of thyroid storm to mortality and to certain other features. Finally, based upon the findings of these surveys, we revised the diagnostic criteria. Thyrotoxic storm is still a life-threatening disorder with over 10% mortality in Japan.
甲状腺危象是一种危及生命的疾病，需要紧急治疗。其流行病学数据和诊断标准均尚未完全确立。我们通过全国性调查阐明了甲状腺危象的临床和流行病学特征，然后制定了甲状腺危象的诊断标准。为了开展关于甲状腺危象的全国性调查，我们首先主要基于文献制定了甲状腺危象的暂定诊断标准（第一版）。我们分析了甲状腺危象的主要特征与死亡率以及其他某些特征之间的关系。最后，根据这些调查结果，我们修订了诊断标准。在日本，甲状腺危象仍然是一种危及生命的疾病，死亡率超过10%。
