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脓毒性休克患者的休克性甲状腺炎:一例报告及文献综述

Shock Thyroid in a Patient with Septic Shock: A Case Report and Literature Review.

作者信息

Kim Wang Hyon, Kim Min Seon, Kim Jun Ho, Lee Kyung Hee, Lee Jung Hwan

出版信息

Taehan Yongsang Uihakhoe Chi. 2021 Sep;82(5):1328-1333. doi: 10.3348/jksr.2020.0213. Epub 2021 Jul 14.

Abstract

Shock thyroid is a rare manifestation of the CT hypotension complex and can be diagnosed when thyroid and perithyroidal edemas are observed on CT during the onset of shock. Shock thyroid can be a useful CT sign for decompensated shock. This condition is reversible and recovers rapidly with adequate treatment. We present the case of an 84-year-old female with septic shock, exhibiting CT features consistent with a shock thyroid. We also reviewed the clinical and radiological findings reported in the literature. The present case emphasizes that shock thyroid can be an early indicator of impending hemodynamic instability and has important prognostic and therapeutic implications.

摘要

休克性甲状腺是CT低血压综合征的一种罕见表现,当在休克发作时通过CT观察到甲状腺及甲状腺周围组织水肿时可作出诊断。休克性甲状腺可能是失代偿性休克的一个有用的CT征象。这种情况是可逆的,经过适当治疗后可迅速恢复。我们报告一例84岁患感染性休克的女性病例,其CT表现符合休克性甲状腺。我们还回顾了文献中报道的临床和影像学发现。本病例强调,休克性甲状腺可能是即将发生血流动力学不稳定的早期指标,具有重要的预后和治疗意义。

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