术中甲状腺危象：一例报告

Intraoperative thyroid storm: a case report.

作者信息

Grimes Catherine M, Muniz Hector, Montgomery William H, Goh Yong S

机构信息

Straub Clinic & Hospital, Honolulu, Hawaii, USA.

出版信息

AANA J. 2004 Feb;72(1):53-5.

PMID:15098517

Abstract

An 18-year-old woman being treated for Graves disease underwent elective thyroidectomy. Tachycardia was noted before surgery. The patient's heart rate and temperature started to rise 30 minutes into surgery. Malignant hyperthermia was excluded on clinical grounds, and treatment with beta blockers was started. The patient's conditions stabilized, and surgery was completed. A review of the patient's laboratory test results revealed a high free thyroxine level before surgery. Diagnosis and management of thyroid storm are discussed.

摘要

一名正在接受格雷夫斯病治疗的18岁女性接受了择期甲状腺切除术。术前发现心动过速。手术开始30分钟后，患者的心率和体温开始上升。基于临床原因排除了恶性高热，并开始使用β受体阻滞剂进行治疗。患者的病情稳定下来，手术得以完成。对患者实验室检查结果的回顾显示术前游离甲状腺素水平较高。本文讨论了甲状腺危象的诊断和管理。