甲状腺危象、横纹肌溶解症与肺栓塞：一例罕见三联征病例报告
Thyroid Storm, Rhabdomyolysis, and Pulmonary Embolism: An Unusual Triad Case Report.
作者信息
Silverman Montane B, Wray Jesse, Bridwell Rachel E, Cibrario Amber
机构信息
Uniformed Services University F. Edward Hebert School of Medicine, Bethesda, Maryland.
Brooke Army Medical Center, Department of Emergency Medicine, Fort Sam Houston, Texas.
出版信息
Clin Pract Cases Emerg Med. 2020 Nov;4(4):540-543. doi: 10.5811/cpcem.2020.7.47774.
INTRODUCTION
Thyroid storm is a medical emergency associated with significant mortality. Hyperthyroid states have been associated with hypercoagulability as well as rhabdomyolysis. However, the pathophysiology of this association remains under investigation.
CASE REPORT
A 62-year-old male patient presented to the emergency department with weakness and was found to have thyroid storm with concurrent submassive pulmonary embolisms and rhabdomyolysis. To our knowledge, this is the first reported presentation of this triad.
CONCLUSION
This case highlights the potentially difficult diagnosis and management of thyroid storm, as well as associated life-threatening complications, including venous thromboemboli and rhabdomyolysis.
引言
甲状腺危象是一种具有显著死亡率的医疗急症。甲状腺功能亢进状态与高凝状态以及横纹肌溶解有关。然而，这种关联的病理生理学仍在研究中。
病例报告
一名62岁男性患者因虚弱就诊于急诊科，被发现患有甲状腺危象，同时并发亚大面积肺栓塞和横纹肌溶解。据我们所知，这是首次报道的这三种情况同时出现的病例。
结论
该病例突出了甲状腺危象潜在的诊断和管理难题，以及相关的危及生命的并发症，包括静脉血栓栓塞和横纹肌溶解。
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