甲状腺危象。表现为昏迷和癫痫发作。见于一名3岁女童。

Thyroid storm. Presenting with coma and seizures. In a 3-year-old girl.

作者信息

Aiello D P, DuPlessis A J, Pattishall E G, Kulin H E

机构信息

Department of Medicine, Milton S. Hershey Medical Center, Pennsylvania State University College of Medicine, Hershey 17033.

出版信息

Clin Pediatr (Phila). 1989 Dec;28(12):571-4. doi: 10.1177/000992288902801204.

DOI:10.1177/000992288902801204

PMID:2582697

Abstract

Thyroid storm is a rare occurrence in the adult population and is even more unusual in children. The current report is of a 3.5-year-old girl who had thyroid storm with unique neurologic manifestations, namely seizure and coma. Acute medical management with propylthiouracil, saturated solution of potassium iodide, hydrocortisone, and propranolol brought about complete resolution of symptoms.

摘要

甲状腺危象在成人中罕见，在儿童中更为少见。本报告介绍的是一名3.5岁女童，她患有甲状腺危象并伴有独特的神经系统表现，即癫痫发作和昏迷。采用丙硫氧嘧啶、碘化钾饱和溶液、氢化可的松和普萘洛尔进行紧急药物治疗后，症状完全缓解。