一名计划行甲状腺切除术的格雷夫斯病患者，因严重药物治疗依从性差而发生甲状腺危象的风险很高：麻醉和手术注意事项。
A Patient with Graves' Disease Scheduled for Thyroidectomy with High Risk for Thyroid Storm Caused by Severe Medication Nonadherence: Anaesthetic and Surgical Considerations.
作者信息
Reber Adrian, Valenti Laura, Müller Stephan
机构信息
Department of Anesthesiology and Intensive Care Medicine, Hospital of Zollikerberg, 8125 Zollikerberg, Zurich, Switzerland.
Department of Surgery, Hospital of Zollikerberg, 8125 Zollikerberg, Zurich, Switzerland.
出版信息
Case Rep Anesthesiol. 2019 Jul 22;2019:4781902. doi: 10.1155/2019/4781902. eCollection 2019.
Abstract
In patients with failed hormone regulation who are scheduled for indispensable total thyroidectomy, the risk of thyroid storm with severe end-organ complications has to be anticipated. This case report presents the successful surgical and anaesthesiological management of a patient with Graves' disease, without any signs of perioperative thyroid storm. Possible recommendations for treatment are presented.
摘要
对于那些激素调节失败且计划进行必要的全甲状腺切除术的患者，必须预见到发生甲状腺危象并伴有严重终末器官并发症的风险。本病例报告介绍了一名格雷夫斯病患者成功的手术和麻醉管理情况，该患者未出现围手术期甲状腺危象的任何迹象。文中还提出了可能的治疗建议。
相似文献
1
A Patient with Graves' Disease Scheduled for Thyroidectomy with High Risk for Thyroid Storm Caused by Severe Medication Nonadherence: Anaesthetic and Surgical Considerations.一名计划行甲状腺切除术的格雷夫斯病患者，因严重药物治疗依从性差而发生甲状腺危象的风险很高：麻醉和手术注意事项。
Case Rep Anesthesiol. 2019 Jul 22;2019:4781902. doi: 10.1155/2019/4781902. eCollection 2019.
2
A retrospective cohort study: do patients with graves' disease need to be euthyroid prior to surgery?一项回顾性队列研究：格雷夫斯病患者在手术前需要处于甲状腺功能正常状态吗？
J Otolaryngol Head Neck Surg. 2018 May 21;47(1):37. doi: 10.1186/s40463-018-0281-z.
3
Thyroid ima artery embolization for the treatment of Graves' disease and thyroid storm.甲状腺最下动脉栓塞术治疗格雷夫斯病和甲状腺危象。
Radiol Case Rep. 2023 May 28;18(8):2641-2644. doi: 10.1016/j.radcr.2023.04.044. eCollection 2023 Aug.
4
Comparison of Intra-Operative Vital Sign Changes during Total Thyroidectomy in Patients with Controlled and Uncontrolled Graves' Disease.Graves病控制组与未控制组患者甲状腺全切除术中生命体征变化的比较。
J Clin Med. 2018 Dec 19;7(12):566. doi: 10.3390/jcm7120566.
5
Postoperative Outcomes in Graves' Disease Patients: Results from the Nationwide Inpatient Sample Database.Graves 病患者的术后结果：全国住院患者样本数据库的结果。
Thyroid. 2017 Jun;27(6):825-831. doi: 10.1089/thy.2016.0500. Epub 2017 May 22.
6
Total thyroidectomy is the preferred treatment for patients with Graves' disease and a thyroid nodule.全甲状腺切除术是格雷夫斯病合并甲状腺结节患者的首选治疗方法。
Otolaryngol Head Neck Surg. 2007 Feb;136(2):278-81. doi: 10.1016/j.otohns.2006.09.011.
7
Graves' disease in a mediastinal mass presenting after total thyroidectomy for nontoxic multinodular goiter: a case report.非毒性多结节性甲状腺肿全甲状腺切除术后纵隔肿物中出现格雷夫斯病：一例报告
J Med Case Rep. 2016 Mar 31;10:70. doi: 10.1186/s13256-016-0878-7.
8
Graves' ophthalmopathy: the case for thyroid surgery.格雷夫斯眼病：甲状腺手术的情况
Surgeon. 2009 Oct;7(5):290-6. doi: 10.1016/s1479-666x(09)80007-3.
9
Management of Graves' hyperthyroidism in pregnancy: focus on both maternal and foetal thyroid function, and caution against surgical thyroidectomy in pregnancy.妊娠期格雷夫斯甲亢的管理：关注母体和胎儿的甲状腺功能，并警惕妊娠期手术甲状腺切除术。
Eur J Endocrinol. 2009 Jan;160(1):1-8. doi: 10.1530/EJE-08-0663. Epub 2008 Oct 10.
10
Total thyroidectomy is now the preferred option for the surgical management of Graves' disease.目前，全甲状腺切除术是格雷夫斯病手术治疗的首选方案。
ANZ J Surg. 2002 May;72(5):321-4. doi: 10.1046/j.1445-2197.2002.02400.x.
引用本文的文献
1
Perioperative management of the thyrotoxic patients: A systematic review.甲状腺毒症患者的围手术期管理：一项系统评价
Ann Med Surg (Lond). 2022 Aug 28;81:104487. doi: 10.1016/j.amsu.2022.104487. eCollection 2022 Sep.
本文引用的文献
1
Thyroid Storm: A Japanese Perspective.甲状腺危象：日本视角。
Thyroid. 2018 Jan;28(1):32-40. doi: 10.1089/thy.2017.0243. Epub 2017 Oct 5.
2
2016 Guidelines for the management of thyroid storm from The Japan Thyroid Association and Japan Endocrine Society (First edition).日本甲状腺协会和日本内分泌学会发布的《2016年甲状腺危象管理指南》（第一版）。
Endocr J. 2016 Dec 30;63(12):1025-1064. doi: 10.1507/endocrj.EJ16-0336. Epub 2016 Oct 15.
3
2016 American Thyroid Association Guidelines for Diagnosis and Management of Hyperthyroidism and Other Causes of Thyrotoxicosis.2016年美国甲状腺协会甲状腺功能亢进症及其他甲状腺毒症病因的诊断和管理指南。
Thyroid. 2016 Oct;26(10):1343-1421. doi: 10.1089/thy.2016.0229.
4
Peri-operative concerns in a patient with thyroid storm secondary to molar pregnancy.葡萄胎妊娠继发甲状腺危象患者的围手术期注意事项。
Indian J Anaesth. 2015 Nov;59(11):739-42. doi: 10.4103/0019-5049.170035.
5
American Thyroid Association statement on optimal surgical management of goiter.美国甲状腺协会关于甲状腺肿最佳手术治疗的声明。
Thyroid. 2014 Feb;24(2):181-9. doi: 10.1089/thy.2013.0291. Epub 2014 Jan 20.
6
Thyroid storm during induction of anesthesia.麻醉诱导期间的甲状腺危象。
Korean J Anesthesiol. 2012 Nov;63(5):477-8. doi: 10.4097/kjae.2012.63.5.477. Epub 2012 Nov 16.
7
Hyperthyroidism and other causes of thyrotoxicosis: management guidelines of the American Thyroid Association and American Association of Clinical Endocrinologists.甲状腺功能亢进症及其他原因所致甲状腺毒症：美国甲状腺协会和美国临床内分泌医师学会管理指南。
Thyroid. 2011 Jun;21(6):593-646. doi: 10.1089/thy.2010.0417. Epub 2011 Apr 21.
8
The surgical management of goiter: Part I. Preoperative evaluation.甲状腺肿的外科治疗：第一部分。术前评估。
Laryngoscope. 2011 Jan;121(1):60-7. doi: 10.1002/lary.21084.
9
Anesthesia case management for thyroidectomy.甲状腺切除术的麻醉病例管理
AANA J. 2010 Apr;78(2):151-60.
10
The tale of radioiodine and Graves' orbitopathy.放射性碘与格雷夫斯眼病的故事。
Thyroid. 2010 Jul;20(7):785-93. doi: 10.1089/thy.2010.1640.
Zotero 插件