鱼叉枪三叉戟撞击颈部造成创伤引发的甲状腺风暴。
Thyroid storm induced by trauma due to spear fishing-gun trident impaction in the neck.
作者信息
Delikoukos Stylianos, Mantzos Fotis
机构信息
Surgical Clinic, Halkis General Hospital, Greece.
出版信息
Emerg Med J. 2007 May;24(5):355-6. doi: 10.1136/emj.2006.044115.
A rare case of thyroid storm induced by thyroid gland injury because of penetrating neck trauma is reported. The injury was because of a spear fishing-gun trident impaction in the neck. The diagnosis of thyroid gland injury was suspected by preoperative clinical examination and established during neck exploration in the theatre. The gland injury led to thyroid storm owing to the rupture of acini and liberation of T4 into the bloodstream. Withdrawal of the impacted trident along with subtotal thyroid lobectomy and repair of soft tissue damage in addition to supported treatments, which corrected the hyperthyroid state, led to uneventful recovery.
本文报告了一例因颈部穿透性创伤导致甲状腺损伤引发甲状腺危象的罕见病例。损伤是由鱼叉式捕鱼枪三叉戟撞击颈部所致。术前临床检查怀疑有甲状腺损伤，并在手术室进行颈部探查时得以确诊。腺泡破裂和T4释放入血导致腺体损伤引发甲状腺危象。取出嵌入的三叉戟，同时行甲状腺次全切除术并修复软组织损伤，辅以支持治疗纠正甲状腺功能亢进状态，患者最终顺利康复。
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