Bürgi U, Halter C
Abteilung für Endokrinologie und Diabetologie, Inselspital Bern.
Schweiz Med Wochenschr. 1993 Apr 17;123(15):729-34.
Endocrine crises can occur in diabetes mellitus, in pituitary failure when there is a lack of ACTH, TSH or ADH secretion, in severe hyper- or hypothyroidism (thyroid storm and myxedema coma), severe hyper- or hypoparathyroidism (parathyroid crisis and tetany), in adrenal failure and in patients with pheochromocytoma or carcinoid tumors. Cushing's syndrome can be associated with psychotic crises. This review describes the most important clinical features and the basic diagnostic and therapeutic aspects of the non diabetic endocrine crises.
内分泌危象可发生于糖尿病、垂体功能衰竭(促肾上腺皮质激素、促甲状腺激素或抗利尿激素分泌不足时)、严重的甲状腺功能亢进或减退(甲状腺危象和黏液性水肿昏迷)、严重的甲状旁腺功能亢进或减退(甲状旁腺危象和手足搐搦)、肾上腺功能衰竭以及嗜铬细胞瘤或类癌肿瘤患者。库欣综合征可伴有精神性危象。本综述描述了非糖尿病性内分泌危象最重要的临床特征以及基本的诊断和治疗方面。