Tormenta tiroidea: abordaje diagnóstico y terapéutico

José Correa-Guerrero , Hugo Corrales Santander , Jorge Yepes Caro , Jesús Bello Simanca , Luis Rodríguez Arrieta , Alejandro Castellanos Pinedo , Elguis Rodríguez Garizabalo , Carmelo Dueñas Castell
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Abstract

Thyroid storm (TT) is a rare but potentially fatal condition if not detected and treated promptly. It is characterized by severe clinical manifestations at the level of the central nervous system, cardiovascular system, and gastrointestinal system, associated with elevated levels of free triiodothyronine (T3) and free thyroxine (T4). Infections and/or treatment discontinuation are the most frequent triggers. Identifying the triggering factor, reducing circulating levels of thyroid hormones, and admission to an intensive care unit become the cornerstone of treatment. In this review, based on a clinical scenario, we will provide information regarding the diagnostic and therapeutic approach to TT.
甲状腺风暴:诊断和治疗方法
甲状腺风暴(TT)是一种罕见但潜在致命的疾病,如果不及时发现和治疗。以中枢神经系统、心血管系统、胃肠系统等临床表现严重为特点,伴有游离三碘甲状腺原氨酸(T3)、游离甲状腺素(T4)水平升高。感染和/或停止治疗是最常见的诱因。确定触发因素,降低循环甲状腺激素水平,并进入重症监护病房成为治疗的基石。在这篇综述中,基于临床情况,我们将提供有关TT的诊断和治疗方法的信息。
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