PDF(Pubmed)
Abstract：
Inflammatory rheumatic diseases (IRDs), encompassing a broad spectrum of chronic disorders, typically necessitate prolonged therapeutic intervention. Nevertheless, these diseases can sometimes manifest as severe emergencies requiring prompt and extensive medical intervention. Urgent intervention is essential for effectively recognizing and managing these situations, as they have the potential to be life-threatening and can result in severe morbidity and mortality. Emergencies in IRDs can occur with different frequencies and manifestations, including nervous system issues, severe infections, thrombosis-emboli, renal crises, gastrointestinal issues, and cardiovascular events. The fact that these events can occur across different IRDs underscores the necessity for heightened awareness and readiness among healthcare professionals. The pathophysiologic mechanisms that cause rheumatic emergencies are complex and involve multiple factors. These emergencies frequently arise due to the interplay between the inflammatory characteristics of rheumatic diseases and different systemic triggers. Early detection and treatment can have a substantial impact on an individual\'s prognosis in cases of severe and life-threatening disorders that require prompt recognition. Rapid decision-making and urgent care are required to effectively address rheumatic emergencies, as well as the implementation of a diagnostic flowchart. This article provides an overview of the emergencies linked to IRDs, classifying and assessing them individually. This article aims to enhance healthcare professionals\' knowledge and awareness of critical situations by examining current recommendations and pathophysiological information. Implementing standardized diagnostic and treatment methods, providing patient education, and conducting continuing research into the underlying mechanisms are essential for enhancing the management of these critical situations and improving patient outcomes.
摘要：
炎症性风湿性疾病（IRD），包括广泛的慢性疾病，通常需要长时间的治疗干预。然而，这些疾病有时会表现为严重的紧急情况，需要迅速和广泛的医疗干预。紧急干预对于有效识别和管理这些情况至关重要，因为它们有可能危及生命，并可能导致严重的发病率和死亡率。IRD中的紧急情况可以以不同的频率和表现发生，包括神经系统问题，严重感染,血栓栓塞，肾危象,肠胃问题,和心血管事件。这些事件可以在不同的IRD上发生的事实强调了提高医疗保健专业人员的意识和准备的必要性。引起风湿性急症的病理生理机制复杂，涉及多种因素。由于风湿性疾病的炎症特征与不同的全身性触发因素之间的相互作用，这些紧急情况经常发生。在需要及时识别的严重和危及生命的疾病的情况下，早期发现和治疗可以对个体的预后产生重大影响。需要快速决策和紧急护理才能有效解决风湿性紧急情况，以及诊断流程图的实现。本文概述了与IRD相关的紧急情况，对它们进行分类和单独评估。本文旨在通过检查当前的建议和病理生理信息，提高医疗保健专业人员对危急情况的认识和认识。实行规范化的诊断和治疗方法,提供患者教育，对潜在机制进行持续研究对于加强对这些危急情况的管理和改善患者预后至关重要。
