放射性碘治疗后危及生命的气道并发症：病例报告及文献复习。

Life-threatening Airway Complication After Radioactive Iodine Treatment: A Case Report and Review of the Literature.

机构信息

Department of Otolaryngology, Örebro University Hospital, Örebro, Sweden;

Örebro University, Örebro, Sweden.

出版信息

Anticancer Res. 2023 Apr;43(4):1853-1855. doi: 10.21873/anticanres.16339.

DOI:10.21873/anticanres.16339

PMID:36974787

Abstract

BACKGROUND/AIM: Radioactive iodine (RAI) treatment is a cornerstone of treatment of differentiated thyroid carcinoma. Although serious RAI-related complications are uncommon, there have been reports of airway emergencies. Here, a life-threatening airway complication after RAI treatment is reported and previously reported cases are reviewed.

CASE REPORT

A 79-year old man with Hürthle cell carcinoma and a remnant thyroid lobe after surgery developed an edema compromising the airway two days after receiving radioactive iodine treatment. An emergency awake intubation and tracheostomy were performed. He could be successfully de-cannulated 17 days later with no long-term complications.

CONCLUSION

Although rare, life-threatening airway complications after radioactive iodine treatment, especially with high dose treatment in patients with remaining thyroid tissue, can occur and these patients should be supervised where these complications can be managed.

摘要

背景/目的：放射性碘（RAI）治疗是分化型甲状腺癌治疗的基石。尽管严重的 RAI 相关并发症并不常见，但已有气道急症的报告。在此，报告一例 RAI 治疗后危及生命的气道并发症，并复习以往报告的病例。