Blick Carly, Schreyer Kraftin E
Temple University Hospital, Department of Emergency Medicine, Philadelphia, Pennsylvania.
Clin Pract Cases Emerg Med. 2019 Oct 21;3(4):409-412. doi: 10.5811/cpcem.2019.9.43656. eCollection 2019 Nov.
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.
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。
