Yoshida D
Emergency Services, San Francisco General Hospital, University of California San Francisco, USA.
J Emerg Med. 1996 Nov-Dec;14(6):697-701. doi: 10.1016/s0736-4679(96)00178-3.
A 21-year-old woman presented to the emergency department complaining of head, neck, and abdominal pain after being assaulted. She denied a previous history or significant symptoms of hyperthyroidism. The physical examination was remarkable for lethargy, low-grade fever, tachycardia, facial abrasions, swelling of the anterior neck, and a tremor. A diagnosis of thyroid storm was made. An extensive work up excluded other causes of the patient's tachycardia, altered mental status, and neck swelling. A review of the clinical features and management of thyroid storm is presented. Relatively minor trauma can be a precipitating event for thyroid storm.
一名21岁女性因遭袭击后出现头部、颈部和腹部疼痛而被送往急诊科。她否认既往有甲状腺功能亢进病史或明显症状。体格检查发现患者嗜睡、低热、心动过速、面部擦伤、颈部前方肿胀及震颤。诊断为甲状腺危象。全面检查排除了患者心动过速、精神状态改变及颈部肿胀的其他原因。本文介绍了甲状腺危象的临床特征及处理。相对轻微的创伤可能是甲状腺危象的诱发因素。
