Sharma Anu, Naraynsingh Vijay, Teelucksingh Surujpaul
Faculty of the Medical Sciences, University of the West Indies, St, Augustine, Trinidad & Tobago.
J Med Case Rep. 2010 Aug 10;4:258. doi: 10.1186/1752-1947-4-258.
Benign cervical goiters rarely cause acute airway obstruction.
We report the case of a 64-year-old woman of African descent who presented with acute shortness of breath. She required immediate intubation and later a total thyroidectomy for a benign cervical multi-nodular goiter with no retrosternal tracheal compression.
Benign multi-nodular goiters are commonly left untreated once euthyroid. Peak inspiratory flow rates should be measured via spirometry in all goiters to assess the degree of tracheal compression. Once tracheal compression is identified, an elective total thyroidectomy should be performed to prevent morbidity and mortality from acute airway obstruction.
良性颈部甲状腺肿很少引起急性气道梗阻。
我们报告一例64岁非洲裔女性病例，该患者出现急性呼吸急促。她需要立即插管，随后因良性颈部多结节性甲状腺肿接受了全甲状腺切除术，该甲状腺肿无胸骨后气管压迫。
良性多结节性甲状腺肿在甲状腺功能正常时通常无需治疗。对于所有甲状腺肿患者，均应通过肺活量测定法测量吸气峰流速，以评估气管受压程度。一旦确定存在气管受压，应进行择期全甲状腺切除术，以预防急性气道梗阻导致的发病和死亡。
