内分泌和电解质异常是围术期常见的问题。本文着重讨论麻醉应注意的某些重点。一、甲状腺功能异常 (一)甲状腺机能亢进(甲亢)常用放射性碘和/或抗甲状腺药物治疗。甲状腺毒症不一定用手术治疗,而常用日受体阻滞剂,术中也很少发生甲状腺症状骤增。麻醉时最关切的是事先未诊断甲亢病人实行非甲状腺手术,因术中发生心动过速、体温骤增、大汗、收缩压明显上升(脉压差大)往往措手不及。心动过速可以是窦性的或房颤伴有 Endocrine and electrolyte abnormalities are perioperative common problems. This article focuses on some of the key points that anesthesia should be noted. First, the abnormal thyroid function (a) hyperthyroidism (hyperthyroidism) commonly used radioactive iodine and / or antithyroid drugs. Thyrotoxicosis is not necessarily treated by surgery, and commonly used daily receptor blockers, surgery is also rare in sudden increase in thyroid symptoms. The most concern when anesthesia is not diagnosed in patients with hyperthyroidism before the implementation of non-thyroid surgery, due to intraoperative tachycardia, body temperature surge, sweating, systolic blood pressure increased significantly (pulse pressure difference) are often caught by surprise. Tachycardia can be sinus or atrial fibrillation