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摘要


甲狀腺風暴的臨床症狀與徵候並不具特異性,急診醫師若不熟悉此疾病,可能延誤診斷與治療。我們提出一位腹痛、噁心及腹瀉兩日與發燒一日的甲狀腺功能亢進病患,剛開始被認為是感染性腸胃炎,但隨即出現意識不清的症狀,最後確定為甲狀腺風暴。病患在接受適當的輸液與藥物治療後,症狀快速改善。當甲狀腺功能亢進的病患出現腸胃炎、發燒與意識不清的症狀時,即使有至開發中國家的旅遊史,也應將甲狀腺風暴列入鑑別診斷,並積極治療甲狀腺功能亢進。

關鍵字

發燒 腸胃炎 甲狀腺風暴

並列摘要


Clinical presentation of thyroid storm is usually nonspecific. Diagnosis and treatment may be delayed if the emergency physician is not familiar with the disease. We report on a patient with a prior history of hyperthyroidism, suffering from abdominal pain, nausea and diarrhea for two days, followed by fever for one day. She received an initial diagnosis of infective gastroenteritis. Disturbed consciousness later developed and thyroid storm was eventually confirmed. The patient recovered after appropriate treatment. Differential diagnosis of hyperthyroidism patients presenting with diarrhea, fever, and disturbed consciousness should include thyroid storm, even with a history of travel to developing countries.

並列關鍵字

fever gastroenteritis thyroid storm

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