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甲状腺机能亢进危象(简称甲亢危象)的发生,主要诱因是精神刺激、感染、术前准备不充分、放射性碘治疗等应激。甲亢危象可分为两个阶段:体温在39℃以下,脉率在120~150次/分,表现为烦躁、嗜睡、恶心、欲吐等,为危象前期;体温在39℃以上,脉率在160次/分以上,表现为大汗、谵妄、呕吐、腹泻,甚至昏迷等,为危象期。但需注意与淡漠型甲亢区分,近年来也屡有报道。
Hyperthyroidism crisis (hyperthyroidism crisis) occurred, the main incentive is mental stimulation, infection, preoperative preparation is not sufficient, such as radioactive iodine treatment stress. Hyperthyroid crisis can be divided into two stages: body temperature below 39 ℃, pulse rate of 120 to 150 beats / min, manifested as irritability, lethargy, nausea, vomiting, etc., for the crisis early; body temperature above 39 ℃, pulse Rate of 160 beats / min or more, manifested as sweating, delirium, vomiting, diarrhea, and even coma, etc., for the crisis period. However, attention should be paid to indifferent type of hyperthyroidism, in recent years have also been repeatedly reported.