Moment of life and death of thyroid storm

36-year-old Miss Liu has no special medical history, there is a cold, climb the stairs suddenly very breath, dyspnea a week later, my colleagues thought her face was very poor, she decided to go to hospital. People to the hospital, the original can tell jokes, and a sudden shock in the examination room. Upon examination, her heart had been mad jump to 200 per minute, it was also and have difficulty breathing, lung water, just a few minutes appeared in heart failure, acute liver failure and was diagnosed with a high mortality in fulminant Sexual disease "thyroid storm." Hospitalization of about a month, Miss Lau 68 kg body weight reduced by 52 kilograms, the Department and the Hospital Legislative pairs metabolism director Xie Chee explained that Miss Lau has been the body of water in the phenomenon, if the lung water, it can affect breathing. After treatment due to water exclusion, so weight loss, but thyroid disease can also cause weight loss in itself, there were patients with weight loss of 5 kg within a week. Miss Liu because of cardiogenic shock, coma, she lingered in the life and death, physicians have been ready to help her with her connected to the in vitro cardiopulmonary bypass machine - Extracorporeal Membrane Oxygenation. Stretch bounce still be alive the day before, suddenly in a short time to crash almost simultaneously organs, heart, liver began to failure, difficulty breathing, cardiac arrhythmia, thrombocytopenia, subject to bleeding, jaundice index of high, doctors take into account to help her Wash the liver, even worried that she might need a liver transplant. DOH pairs and the Hospital cardiologist attending physician Liu Shunxin pointed out that no specific symptoms of thyroid storm is difficult to diagnose, but after tests found, Miss Lau's thyroid hormone is too high to determine a "thyroid storm" caused by heart failure. Thyroid storm, also known as thyroid poisoning, is a very rare acute illness, if left untreated, the mortality rate of almost 100%, even if the active treatment, the mortality rate was still as high as 20%. Xie Cizhu Ren described hyperthyroidism, the body's metabolic rate would increase, occurs when the thyroid storm, as only 100 km per hour to open the car, suddenly bursts of 250 kilometers an hour continued to red, resulting in auto parts all the claims, the body organ no longer is bound to兵败如山倒. Later, cardiologist drugs slow down the use of digitalis in patients with heart rate, and use the boost dose to restore blood pressure, heart rate adjustment of drugs for the treatment of arrhythmia, and then to exclude pleural effusion diuretics. Endocrinologist is also used in patients with anti-thyroid drugs inhibit thyroid hormone secretion, finally Miss Liu ride out the storm and smooth return to health.

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