内分泌急诊会诊疾病分布及特点

  目的  探讨北京协和医院内分泌急诊会诊的疾病分布。  方法  回顾2010年3月1日至2011年2月28日北京协和医院内分泌科会诊医师处理的急诊会诊病例, 分析疾病分布情况及特点。  结果  内分泌急诊会诊患者共196例, 会诊病例最常见为电解质紊乱(69例, 35.2%), 其次为甲状腺疾病(56例, 28.6%)和糖代谢异常(49例, 25.0%)。电解质紊乱以低钠血症最为多见(65.2%)。冬春季节内分泌急诊会诊病例(110例)多于夏秋季节(86例), 电解质紊乱患者比例也高于夏秋季节(39.1%比30.2%)。重症医学科急诊会诊患者中, 甲状腺功能正常的病态综合征占28.6%。  结论  内分泌急诊会诊疾病谱发生一定变化, 电解质紊乱在内分泌急诊会诊中占重要地位, 应予高度重视。

Distribution and Characteristics of Diseases in Endocrine Emergency Consultation

Objective　To describe the disease distribution in endocrine emergency consultation. Methods　The pattern and characteristics of emergency cases encountered by endocrinology chief resident of Peking Union Medical College Hospital from March 1, 2010 to February 28, 2011 were retrospectively analyzed. Results　A total of 196 patients received consultation in the Emergency Department and Intensive Care Unit. The most common diagnosis was electrolyte disturbance (69 cases, 35.2%), followed by thyroid disease (56 cases, 28.6%) and carbohydrate metabolic disorder(49 cases, 25.0%). Hyponatremia was the most common electrolyte disturbance (65.2%). The number of emergency consultation cases in winter and spring (110 cases) exceeded that in autumn and summer (86 cases), so did the proportion of electrolyte disturbance cases (39.1% vs. 30.2%). The euthyroid sick syndrome was common in the Intensive Care Unit in the analyzed consultation cases (28.6%). Conclusion　Disease pattern in endocrine emergency consultation cases has changed. Electrolyte disturbance becomes a common and important disease in endocrine emergency consultation and we should therefore pay serious attention to this condition in clinical practice.