CAJ | 학술논문

对广西医科大学第一附属医院内分泌科1990年至2011年收治的急性甲亢肌病患者临床资料进行回顾性分析.纳入69例,临床症状以声音嘶哑最常见,17.4％的患者出现过呼吸困难,死亡原因包括呼吸肌麻痹和吸入性肺炎,急性甲亢肌病症状不典型,病情可迅速变化,应引起重视.主要给予抗甲亢药物、糖皮质激素、能量支持、对症等治疗,可取得良好的临床疗效.
대엄서의과대학제일부속의원내분비과1990년지2011년수치적급성갑항기병환자림상자료진행회고성분석.납입69례,림상증상이성음시아최상견,17.4％적환자출현과호흡곤난,사망원인포괄호흡기마비화흡입성폐염,급성갑항기병증상불전형,병정가신속변화,응인기중시.주요급여항갑항약물、당피질격소、능량지지、대증등치료,가취득량호적림상료효.
Sixty-nine cases of acute hyperthyroid myopathy admitted from 1990 to 2011 were retrospectively analyzed.Hoarseness was the most common symptom; 17.39％ of the patients had difficulty in breathing; respiratory muscle paralysis and aspiration pneumonia were the main causes of death.Efficient treatment lasting for two weeks was carried out in 81.16％ of the cases.Patients with severe bulbar palsy were often complicated with aspiration pneumonia and thus had high mortality rate.The main treatments in cluded anti-hyperthyroid drugs,corticosteroids,energy supports,and symptomatic management,which usually resulted in good clinical improvement.