锂相关性甲状腺肿大：气道梗阻的一种罕见病因。
Lithium-associated thyromegaly: an unusual cause of airway obstruction.
作者信息
Verma Ashish, Wartak Siddharth, Tidswell Mark
机构信息
Baystate Medical Center, Tufts University School of Medicine, Springfield, MA 01199, USA.
出版信息
Case Rep Med. 2012;2012:627415. doi: 10.1155/2012/627415. Epub 2012 Sep 9.
Abstract
Acute upper airway obstruction is a medical emergency and can be caused by many serious conditions such as a foreign body occluding the airway, intrinsic swelling (as in anaphylaxis), or extrinsic compression. Thyromegaly has rarely been reported as a source of airway compromise. We present a patient whose thyromegaly is presumed to have been induced by lithium and was massive enough to cause severe airway compromise.
摘要
急性上气道梗阻是一种医疗急症，可由许多严重情况引起，如气道被异物阻塞、内在肿胀（如过敏反应）或外在压迫。甲状腺肿大作为气道受损的原因鲜有报道。我们报告一例患者，其甲状腺肿大推测由锂盐诱发，肿大程度足以导致严重的气道受损。
相似文献
1
Lithium-associated thyromegaly: an unusual cause of airway obstruction.
Case Rep Med. 2012;2012:627415. doi: 10.1155/2012/627415. Epub 2012 Sep 9.
2
Prehospital removal improves neurological outcomes in elderly patient with foreign body airway obstruction.
Am J Emerg Med. 2017 Oct;35(10):1396-1399. doi: 10.1016/j.ajem.2017.04.016. Epub 2017 Apr 10.
3
Acute upper airway obstruction in the adult. 2. Causative events.
Postgrad Med. 1982 Dec;72(6):61-3, 66-7. doi: 10.1080/00325481.1982.11716283.
4
Management of upper airway obstruction.
Otolaryngol Clin North Am. 1979 May;12(2):351-73.
5
Patient With Prior COVID-19 Infection Presenting With Acute Upper Airway Obstruction: A Case Report.
Cureus. 2022 Mar 16;14(3):e23214. doi: 10.7759/cureus.23214. eCollection 2022 Mar.
6
Massive lingual swelling following palatoplasty. An unusual cause of upper airway obstruction.
Anaesthesia. 1995 Jan;50(1):30-4. doi: 10.1111/j.1365-2044.1995.tb04509.x.
7
Upper airway obstruction caused by massive subcutaneous emphysema.
Intensive Care Med. 1984;10(1):43-4. doi: 10.1007/BF00258069.
8
A Case Report of Acute Airway Compromise due to Subcutaneous Emphysema.
Case Rep Med. 2018 Nov 25;2018:3103061. doi: 10.1155/2018/3103061. eCollection 2018.
9
Critical airway compromise caused by neck haematoma.
Clin Otolaryngol Allied Sci. 2002 Aug;27(4):244-5. doi: 10.1046/j.1365-2273.2002.00567.x.
10
Floppy epiglottis together with extra-laryngeal mass causing an inducible laryngeal obstruction and hypoxemic event in an adult: A case report.
Saudi J Anaesth. 2020 Jul-Sep;14(3):400-402. doi: 10.4103/sja.SJA_760_19. Epub 2020 May 30.
本文引用的文献
1
Upper airway obstruction in patients with endothoracic goiter enlargement: no relationship between flow-volume loops and radiological tests.
Eur J Endocrinol. 2010 Oct;163(4):665-9. doi: 10.1530/EJE-10-0235. Epub 2010 Aug 5.
2
[Intrathoracic goitre: a literature review].
Cir Esp. 2010 Sep;88(3):142-5. doi: 10.1016/j.ciresp.2010.03.020. Epub 2010 May 24.
3
Lithium salts in the treatment of psychotic excitement.
Med J Aust. 1949 Sep 3;2(10):349-52. doi: 10.1080/j.1440-1614.1999.06241.x.
4
Fifteen-year follow-up of thyroid function in lithium patients.
J Endocrinol Invest. 2007 May;30(5):363-6. doi: 10.1007/BF03346311.
5
A cross-sectional and a prospective study of thyroid disorders in lithium-treated patients.
J Affect Disord. 2005 Aug;87(2-3):313-7. doi: 10.1016/j.jad.2005.03.010.
6
Thyroiditis.
N Engl J Med. 2003 Jun 26;348(26):2646-55. doi: 10.1056/NEJMra021194.
7
Association between lithium use and thyrotoxicosis caused by silent thyroiditis.
Clin Endocrinol (Oxf). 2001 Oct;55(4):501-8. doi: 10.1046/j.1365-2265.2001.01381.x.
8
The effects of lithium therapy on thyroid and thyrotropin-releasing hormone.
Thyroid. 1998 Oct;8(10):909-13. doi: 10.1089/thy.1998.8.909.
9
Management of substernal goiter.
Laryngoscope. 1998 Nov;108(11 Pt 1):1611-7. doi: 10.1097/00005537-199811000-00005.
10
Histological features of the thyroid gland in a patient with lithium induced thyrotoxicosis.
J Clin Pathol. 1995 Jun;48(6):582-4. doi: 10.1136/jcp.48.6.582.
Zotero 插件