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妊娠滋养细胞疾病诱发的甲状腺风暴

Gestational Trophoblastic Disease-induced Thyroid Storm.

作者信息

Blick Carly, Schreyer Kraftin E

机构信息

Temple University Hospital, Department of Emergency Medicine, Philadelphia, Pennsylvania.

出版信息

Clin Pract Cases Emerg Med. 2019 Oct 21;3(4):409-412. doi: 10.5811/cpcem.2019.9.43656. eCollection 2019 Nov.

Abstract

In the United States, gestational trophoblastic diseases (GTD), including molar pregnancies, occur in 121 out of 100,000 pregnancies.1 Many patients with GTD may develop hyperthyroidism. GTD-induced thyroid storm is a rare but life-threatening complication of GTD.2 Once patients are hemodynamically stable, the mainstay of definitive treatment is evacuation of the mole.3 We present a case of molar pregnancy-induced thyroid storm presenting as vaginal bleeding, fever, and tachycardia.

摘要

在美国,每10万例妊娠中有121例发生妊娠滋养细胞疾病(GTD),包括葡萄胎妊娠。许多GTD患者可能会出现甲状腺功能亢进。GTD诱发的甲状腺风暴是GTD一种罕见但危及生命的并发症。一旦患者血流动力学稳定,确定性治疗的主要方法是清除葡萄胎。我们报告一例葡萄胎妊娠诱发甲状腺风暴的病例,表现为阴道出血、发热和心动过速。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2803/6861026/3f8cb06d3c3e/cpcem-03-409-g001.jpg

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