甲状腺毒症性心肌病所致心力衰竭：体外膜肺氧合治疗格雷夫斯病
Heart Failure in Thyrotoxic Cardiomopathy: Extracorporeal Membrane Oxygenation Treatment for Graves' Disease.
作者信息
Allencherril Joseph, Birnbaum Itamar
机构信息
Department of Medicine, Baylor College of Medicine, Houston, Texas.
出版信息
J Extra Corpor Technol. 2015 Dec;47(4):231-2.
Abstract
Thyrotoxicosis-induced cardiomyopathy and consequent heart failure is one of the most grave complications of uncontrolled hyperthyroidism. In such patients, early recognition of thyrotoxicosis, and directed antithyroid therapy can lead to rapid normalization of left ventricular function. Herein, we present a case of a 29-year-old male with Graves' disease who developed heart failure with severe deterioration of left ventricular function and eventually, circulatory collapse. Height and weight of the patient were 1.8 m and 84 kg, respectively. The patient was placed on venoarterial extracorporeal membrane oxygenation for immediate circulatory support, with restoration of cardiac function after 6 days.
摘要
甲状腺毒症性心肌病及随之而来的心力衰竭是未控制的甲状腺功能亢进最严重的并发症之一。在此类患者中，早期识别甲状腺毒症并进行针对性抗甲状腺治疗可使左心室功能迅速恢复正常。在此，我们报告一例29岁患有格雷夫斯病的男性患者，该患者出现心力衰竭，左心室功能严重恶化，最终循环衰竭。患者身高和体重分别为1.8米和84千克。该患者接受了静脉-动脉体外膜肺氧合以立即进行循环支持，6天后心脏功能恢复。
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