IR@PKUHSC  > 北京大学第二临床医学院
学科主题临床医学
Successful treatment of thyroid crisis accompanied by hypoglycemia, lactic acidosis, and multiple organ failure
Deng, Yongmei; Zheng, Weiwei; Zhu, Jihong
刊名AMERICAN JOURNAL OF EMERGENCY MEDICINE
2012-11-01
DOI10.1016/j.ajem.2012.01.003
30期:9
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Emergency Medicine
研究领域[WOS]Emergency Medicine
关键词[WOS]STORM
英文摘要

We describe a case of thyroid crisis with hypoglycemia, lactic acidosis, multiple organ failure, and disseminated intravascular coagulation-rare but severe complications of thyroid crisis. The patient was a 59-year-old Chinese woman who presented with evidence of heart failure and atrial fibrillation. Analysis of a blood sample yielded astonishing results: her blood glucose was 1.7 mmol/L, and lactate greater than 15 mmol/L with the arterial pH as 6.94. Liver enzymes (alanine aminotransferase, 1846 U/L; aspartate aminotransferase, 6242 U/L) and bilirubin elevated rapidly and dramatically. Prompt treatments such as mechanical ventilation, plasma exchange, and continuous venovenous hemofiltration were preformed, along with antithyroid medication. The patient finally survived after 3 weeks of intensive care. We herein discuss the possible mechanisms of these metabolic disorders in thyroid crisis and possible therapeutic measures that could be used to reduce mortality.

语种英语
WOS记录号WOS:000311997600104
引用统计
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/54835
专题北京大学第二临床医学院
作者单位Peking Univ, Peoples Hosp, Dept Emergency, Beijing 100044, Peoples R China
推荐引用方式
GB/T 7714
Deng, Yongmei,Zheng, Weiwei,Zhu, Jihong. Successful treatment of thyroid crisis accompanied by hypoglycemia, lactic acidosis, and multiple organ failure[J]. AMERICAN JOURNAL OF EMERGENCY MEDICINE,2012,30(9).
APA Deng, Yongmei,Zheng, Weiwei,&Zhu, Jihong.(2012).Successful treatment of thyroid crisis accompanied by hypoglycemia, lactic acidosis, and multiple organ failure.AMERICAN JOURNAL OF EMERGENCY MEDICINE,30(9).
MLA Deng, Yongmei,et al."Successful treatment of thyroid crisis accompanied by hypoglycemia, lactic acidosis, and multiple organ failure".AMERICAN JOURNAL OF EMERGENCY MEDICINE 30.9(2012).
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