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[巨大压迫性甲状腺肿的急诊处理:一例病例报告]

[Emergency management of a giant compressive goitre: a case report].

作者信息

Said Anajar, Konimba Coulibaly, Ilias Tahiri, Loubna Taali, Amal Hajjij, Mustapha Saadi, Salwa Ouraini, Ali Jahidi, Mohammed Zalakh, Fouad Benariba

机构信息

Ear, Neck, Throat Department, Face and Neck Surgery, Hospital Cheikh Khalifa, Mohammed VI University of Health Sciences, Casablanca, Morocco.

Ear, Neck, Throat Department, Face and Neck Surgery, Military Hospital Mohammed V, Rabat, Morocco.

出版信息

Pan Afr Med J. 2022 Mar 31;41:265. doi: 10.11604/pamj.2022.41.265.30516. eCollection 2022.

DOI:10.11604/pamj.2022.41.265.30516
PMID:35734334
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9187980/
Abstract

Compressive goitre is a public health emergency due to the risk of asphyxia caused by compression of bronchial tree. We report the case of a 48-year-old female patient presenting to the emergency department with laryngeal dyspnea due to compressive goitre. We conducted a study and a literature review focusing on the clinical and radiological features of compressive goitre and different treatment options. The management of a patient with compressive goitre is difficult and must be rapid, due to the high risk of asphyxia. It requires a multidisciplinary approach of an experienced surgical team, including ENT and thoracic surgeons.

摘要

由于支气管树受压导致窒息风险,压迫性甲状腺肿是一种公共卫生紧急情况。我们报告了一例48岁女性患者,因压迫性甲状腺肿导致喉喘鸣而就诊于急诊科。我们进行了一项研究并进行了文献综述,重点关注压迫性甲状腺肿的临床和放射学特征以及不同的治疗选择。由于窒息风险高,压迫性甲状腺肿患者的管理困难且必须迅速。这需要由经验丰富的外科团队采取多学科方法,包括耳鼻喉科和胸外科医生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7442/9187980/dbe5c63ef643/PAMJ-41-265-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7442/9187980/b3ee088076b7/PAMJ-41-265-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7442/9187980/dbe5c63ef643/PAMJ-41-265-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7442/9187980/b3ee088076b7/PAMJ-41-265-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7442/9187980/dbe5c63ef643/PAMJ-41-265-g002.jpg

相似文献

1
[Emergency management of a giant compressive goitre: a case report].[巨大压迫性甲状腺肿的急诊处理:一例病例报告]
Pan Afr Med J. 2022 Mar 31;41:265. doi: 10.11604/pamj.2022.41.265.30516. eCollection 2022.
2
Surgical approach to retrosternal goitre: do we still need sternotomy?胸骨后甲状腺肿的手术入路:我们仍需要胸骨切开术吗?
Acta Otorhinolaryngol Ital. 2009 Dec;29(6):331-8.
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Total thyroidectomy: the procedure of choice for toxic goitre.全甲状腺切除术:毒性甲状腺肿的首选手术方式。
Asian J Surg. 2008 Apr;31(2):59-62. doi: 10.1016/S1015-9584(08)60059-7.
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[Management of a compressive goiter in a pregnant woman].[孕妇压迫性甲状腺肿的管理]
Tunis Med. 2015 Mar;93(3):187-9.
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[Compressive goiters. Apropos of 80 cases].[压迫性甲状腺肿。关于80例病例]
J Chir (Paris). 1989 Oct;126(10):521-6.
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A cohort and database study of airway management in patients undergoing thyroidectomy for retrosternal goitre.一项针对胸骨后甲状腺肿行甲状腺切除术患者气道管理的队列研究和数据库研究。
Anaesth Intensive Care. 2014 Nov;42(6):700-8. doi: 10.1177/0310057X1404200604.
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[Respiratory complications in compressive goiters].
G Chir. 1991 Aug-Sep;12(8-9):441-3.
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Active prophylactic management of respiratory obstruction after standard thyroidectomy for giant goitre in the middle belt region of Nigeria.尼日利亚中部地区巨大甲状腺肿标准甲状腺切除术后呼吸梗阻的积极预防性处理
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Thoracic inlet compression due to amiodarone induced goitre.胺碘酮所致甲状腺肿引起的胸廓入口受压
Postgrad Med J. 1985 Mar;61(713):249-50. doi: 10.1136/pgmj.61.713.249.
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Goitre-Related Factors for Predicting Difficult Intubation in Patients Scheduled for Thyroidectomy in a Resource-Challenged Health Institution in North Central Nigeria.尼日利亚中北部资源匮乏医疗机构中计划行甲状腺切除术患者预测困难插管的甲状腺肿相关因素
Ethiop J Health Sci. 2018 Mar;28(2):169-176. doi: 10.4314/ejhs.v28i2.8.

本文引用的文献

1
Clinico-Epidemiological Study and Treatment Outcome of Multinodular Goitre at A Tertiary Care Hospital.三级医院多结节性甲状腺肿的临床流行病学研究及治疗结果
J Clin Diagn Res. 2015 Jun;9(6):PC22-5. doi: 10.7860/JCDR/2015/12947.6098. Epub 2015 Jun 1.
2
Goitre - causes, investigation and management.甲状腺肿——病因、检查与治疗
Aust Fam Physician. 2012 Aug;41(8):572-6.
3
Are there predictors of malignancy in patients with multinodular goiter?多结节性甲状腺肿患者的恶性肿瘤有预测因素吗?
J Surg Res. 2012 May 15;174(2):207-10. doi: 10.1016/j.jss.2011.11.1035. Epub 2011 Dec 20.
4
A giant euthyroid endemic multinodular goiter with no obstructive or compressive symptoms.一个巨大的甲状腺功能正常的地方性多结节性甲状腺肿,无阻塞或压迫症状。
Case Rep Med. 2011;2011:620480. doi: 10.1155/2011/620480. Epub 2011 Jun 13.