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甲状腺危象继发于快速序贯插管。

Thyroid storm following rapid sequence intubation.

机构信息

University of Texas Health Science Center at San Antonio, United States of America.

Department of Emergency Medicine, University of Texas Health Science Center at San Antonio, United States of America.

出版信息

Am J Emerg Med. 2018 Dec;36(12):2338.e5-2338.e6. doi: 10.1016/j.ajem.2018.09.006. Epub 2018 Sep 3.

Abstract

Thyroid storm is a rare complication with an estimated incidence ranging from 0.61 to 0.76 cases per 100,000 people. Common causes include intrinsic hyperthyroidism, such as in Grave's disease, infection, surgery, severe emotional stress, and acute trauma to the thyroid gland. Without immediate treatment, mortality is seen in up to 30% of cases. Here, we report a case of a 46-year-old male who presented with a possible food impaction for the past 48 h. The patient developed extreme hypertension, tachycardia, and diaphoresis immediately following rapid sequence intubation (RSI), which, after further work-up, was due to thyroid storm.

摘要

甲状腺危象是一种罕见的并发症,估计发病率为每 10 万人中有 0.61 至 0.76 例。常见病因包括自身免疫性甲状腺功能亢进症,如格雷夫斯病、感染、手术、严重情绪应激和甲状腺的急性创伤。如果不立即治疗,高达 30%的病例会出现死亡。在这里,我们报告了一例 46 岁男性,他因可能的食物嵌塞而在过去 48 小时内出现症状。患者在快速序贯插管(RSI)后立即出现极度高血压、心动过速和出汗,进一步检查后发现是甲状腺危象所致。

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