Natsuda Shoko, Nakashima Yomi, Horie Ichiro, Ando Takao, Kawakami Atsushi
Department of Endocrinology and Metabolism, Nagasaki University Hospital, Nagasaki 852-8501, Japan.
Case Rep Endocrinol. 2015;2015:750390. doi: 10.1155/2015/750390. Epub 2015 Mar 9.
Thyroid storm is a rare and life-threatening complication of thyrotoxicosis that requires prompt treatment. Thyroid storm is also known to be associated with precipitating events. The simultaneous treatment of thyroid storm and its precipitant, when they are recognized, in a patient is recommended; otherwise such disorders, including thyroid storm, can exacerbate each other. Here we report the case of a thyroid storm patient (a 55-year-old Japanese male) complicated with a perforated duodenal ulcer. The patient was successfully treated with intensive treatment for thyroid storm and a prompt operation. Although it is believed that peptic ulcer rarely coexists with hyperthyroidism, among patients with thyroid storm, perforation of a peptic ulcer has been reported as one of the causes of fatal outcome. We determined that surgical intervention was required in this patient, reported despite ongoing severe thyrotoxicosis, and reported herein a successful outcome.
甲状腺危象是甲状腺毒症一种罕见且危及生命的并发症，需要及时治疗。甲状腺危象也已知与诱发事件有关。建议在患者中同时识别并治疗甲状腺危象及其诱发因素；否则，包括甲状腺危象在内的此类疾病会相互加重。在此，我们报告一例甲状腺危象患者（一名55岁日本男性）并发十二指肠溃疡穿孔的病例。该患者通过甲状腺危象强化治疗和及时手术成功治愈。尽管一般认为消化性溃疡很少与甲状腺功能亢进并存，但在甲状腺危象患者中，消化性溃疡穿孔已被报道为致命结局的原因之一。我们确定该患者尽管存在严重甲状腺毒症仍需要进行手术干预，并在此报告了成功的治疗结果。
