Young patients have palpitations, hands shaking, and sweating with more than 7 years. The reason is ...

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Class Notes--

"How does the crisis of hyperthyroidism" turn danger "? "

Lecturer: Lin Yi

Shanghai First People's Hospital

In recent years, with the improvement of medical conditions and the popularization of various medical knowledge, the public has become more and more aware of thyroid disease.

However, because most thyroid diseases themselves generally do not threaten patients' lives, many patients do not pay attention to it after illness. In fact, the thyroid disease will also occur in crisis, and the more serious ones are the crisis of hyperthyroidism.

If the treatment is not timely, patients will often die due to heart failure and shock. In the face of hyperthyroidism, diagnosis and reasonable treatment are particularly important.

To this end, the small world specially invited Dr. Lin Yi from the Endocrine metabolic metabolic metabolism from Shanghai First People's Hospital to produce this course "How to" Turning Turn in Danger "in this course, and took us to learn how to prevent the crisis of hyperthyroidism.

Xiaobei carefully prepared knowledge notes for everyone

You can use the course ~

01

Introduction

Patients, young people, young people, palpitations, hands shaking, and sweating with weight have fallen for 7 years. During the treatment period, he had not regularly taken anthology drugs. Before admission, he had been treated at the clinic for 3 months. The symptoms had not improved, and he was diagnosed in the outpatient clinic of our hospital again.

The patient's self -prosecution was worsened. ML, anti -T3 5.19nmol/L.

Table 1: Armoric chemical test list

Case doubts: FT3 is 8 times higher than normal and FT4 is 6 times higher than normal. Is the patient a crisis of hyperthyroidism?

02

Point of diagnosis

Point 1: The diagnosis of hyperthyroidism is mainly based on clinical manifestations, not laboratory indicators.

Typical clinical manifestations:

(1) High heat (≥39 ℃): sweat, red skin, and routine antipyretic drugs have poor effects.

(2) Symptoms of cardiovascular systems: fast heart rate (& 160 times/min), fast heart rhythm, heart failure, and heartogenesis shock.

(3) Symptoms of the central nervous system: irritability, irritability, drowsiness, and coma.

(4) Symptoms of digestive systems: poor natal, nausea and vomiting, abdominal pain, diarrhea, hydrolysis disorders.

Point 2: The crisis of hyperthyroidism must first have hyperthyroidism.

in accordance with:

(1) TT4, TT3, FT3, FT4+typical symptoms = thyroid poison.

(2) Macroscopic symbol of thyroid poison+thyroid mysteria = hyperthyroidism.

03

Incentive of hyperthyroidism

If the patient may have hyperthyroidism in clinical diagnosis, where should be started? Therefore, in this case, only if the patient has the cause of the disease, can the treatment be targeted.

Infection: 80%.

Stress: Heart failure, excessive labor, high temperature, diabetic acid poisoning, cerebrovascular accidents, etc.

Anti -thyroid drugs or iodine.

131 After iodine treatment.

Hyperthyroidism is excessively squeezed into the thyroid gland.

In general, the occurrence of hyperthyroidism is the result of the common effect of internal and external causes.

Seeing this, the doubts we proposed earlier were solved. The patient's TT4, TT3, FT3, and FT4 are all higher than the normal range, and the patient is accompanied by obvious sweat, cardiovascular system symptoms, and obvious signs of thyroid gland. The patient can be diagnosed as a crisis of hyperthyroidism. After a week of plasma replacement treatment, the patient turned danger.

Due to space reasons, the small world will not start with you today. There are many related contents of the crisis of hyperthyroidism. For example, how to diagnose the crisis of hyperthyroidism as soon as possible? How to implement subsequent treatment? What are the five major treatment principles?

Please download the doctor's station app to search for "How to" turn danger into safety "? ", Or scan the QR code below to reach the small class ~

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