甲状腺危象与糖尿病酮症酸中毒患者就诊于急诊科。
Thyroid Storm and Diabetic Ketoacidosis Presenting to the Emergency Department.
作者信息
Griffiths Sean, Peak David, Bridwell Rachel E, Long Brit
机构信息
Emergency Medicine, San Antonio Uniformed Services Health Education Consortium/Brooke Army Medical Center, San Antonio, USA.
Emergency Medicine, Brooke Army Medical Center, Fort Sam Houston, USA.
出版信息
Cureus. 2020 Jan 23;12(1):e6751. doi: 10.7759/cureus.6751.
This paper diabetic ketoacidosis (DKA). Previous literature describes these two disease states presenting together, but most reports describe the etiology as uncontrolled diabetes leading to thyroid storm. After literary review, we present what we believe to be the first case of thyroid storm and DKA occurring in the same person on multiple occasions with an insulin pump. Additionally, we provide evidence that points to the thyroid storm being caused by DKA versus the traditional teaching of DKA precipitating thyroid storm.
本文探讨糖尿病酮症酸中毒（DKA）。既往文献描述了这两种疾病状态同时出现的情况，但大多数报告将病因描述为未控制的糖尿病导致甲状腺危象。经过文献回顾，我们呈现了我们认为是首例同一人多次使用胰岛素泵同时发生甲状腺危象和DKA的病例。此外，我们提供的证据表明甲状腺危象是由DKA引起的，而非传统观点认为的DKA诱发甲状腺危象。
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