Hyperthyroid crisis

Introduction The elderly hyperthyroidism crisis is called hyperthyroidism crisis . It is a serious complication of thyrotoxicosis and endangers the life of patients. This disease is not common, but the mortality rate is very high. Hyperthyroidism can generally account for 1% to 2% of hospitalized patients with hyperthyroidism. The popularity of surgery With the advancement of medical technology and the adequate preparation of patients with hyperthyroidism before surgery, hyperthyroidism has rarely occurred. The same as hyperthyroidism, the occurrence of hyperthyroidism in women is significantly higher than that of men. This disease can occur at any age, children are rare, and hyperthyroidism is more common in the elderly.

Cause

Hyperthyroidism has a certain relationship with heredity. Most patients with hyperthyroidism in the clinic are familial. The mothers with hyperthyroidism have higher susceptibility to thyroid mites than other people, although they are Hyperthyroidism is more susceptible, but not everyone suffers from hyperthyroidism. If you have two other factors involved, you will develop hyperthyroidism. One is exposed to hyperthyroidism, and the other is due to excessive fatigue or mental factors. The reason is that the disease resistance of the body is reduced. These three factors are combined to cause hyperthyroidism.

an examination

Related inspection

Basal metabolism cerebrospinal fluid cyclophosphate guanosine cerebrospinal fluid inorganic phosphorus basal gastric secretion erythrocyte acetylcholinesterase

Thyroid function test:

Serum T3, T4, rT3 increased, FT3 and FT4 increased more significantly, but there is no boundary with no crisis.

Blood routine:

No specific changes. For example, the total number of white blood cells and neutrophils are significantly elevated, suggesting the presence of infection.

Other auxiliary inspections:

1. Electrolytes Due to the high metabolic state of patients with hyperthyroidism, high fever, vomiting and even diarrhea cause dehydration and electrolyte imbalance in most patients. Among them, hyponatremia is the most common, and there may be metabolic acidosis and hypokalemia.

2. The electrocardiogram can display various tachyarrhythmia.

Differential diagnosis

Hyperthyroidism symptoms need to be identified as follows:

1. Hyperthyroidism:

Main symptoms: palpitations, difficulty breathing, pain in the precordial area, premature beats (premature beats) or paroxysmal atrial fibrillation, and even persistent atrial fibrillation.

2. Hyperthyroidism:

The main symptoms: the acute phase of the eye process is the inflammatory response of the extraocular muscle and the posterior ocular tissue. Extraocular muscles can be significantly thicker, 3 to 8 times more than normal, post-ball fat and connective tissue, infiltration, volume can be up to four times. Chronic phase changes are dominated by hyperplasia. There are similar pathological changes in the lacrimal gland. Symptoms include intraocular foreign body sensation, burning pain, photophobia, and tearing. When the eye muscle is partially paralyzed, the eyeball is restricted in rotation and double vision occurs. Because the eyeball is prominent, it can be difficult to close the eyelid and the cornea and the combined membrane are stimulated to cause keratitis, corneal ulcer, conjunctival hyperemia, edema, etc., affecting vision, and severe ulceration causes blindness of the whole eye.

3. Hyperthyroidism:

Main symptoms: In addition to hyperthyroidism symptoms, mainly liver disease changes, liver enlargement, tenderness, general itching, jaundice, dark urine, increased stool frequency, but good appetite, no oil.

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