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正颌手术后严重甲状腺功能减退症:病例报告。

Severe hypothyroidism after orthognathic surgery: a case report.

机构信息

State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Anesthesiology, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.

出版信息

Hua Xi Kou Qiang Yi Xue Za Zhi. 2021 Aug 1;39(4):489-491. doi: 10.7518/hxkq.2021.04.018.

Abstract

Hypothyroidism is a common endocrine disease with reduced systemic metabolism, but the initial diagnosis is rare in oral and maxillofacial surgery. Due to the nonspecific symptoms, it is easy to be misdiagnosed and missed diagnosis which results in serious consequences. This paper presents a case of severe hypothyroidism which was characterized by airway obstruction, facial swelling, unexplained anaemia and bipedal edema after orthognathic surgery. With review of relevant literatures, this article discusses the risk factors, symptoms, diagnosis and therapy of hypothyroidism.

摘要

甲状腺功能减退症是一种常见的内分泌疾病,全身代谢降低,但在口腔颌面外科中,其最初诊断很少见。由于症状不典型,容易误诊和漏诊,导致严重后果。本文报道了 1 例因正颌手术后出现气道梗阻、面部肿胀、原因不明性贫血和双下肢水肿而表现为严重甲状腺功能减退症的病例。通过复习相关文献,本文讨论了甲状腺功能减退症的危险因素、症状、诊断和治疗。

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2
Global epidemiology of hyperthyroidism and hypothyroidism.全球甲状腺功能亢进症和甲状腺功能减退症的流行病学。
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