在体外膜肺氧合支持下进行甲状腺全切除术治疗甲状腺危象
Total Thyroidectomy while on Extracorporeal Membrane Oxygenation for Thyroid Storm.
作者信息
Wee Jia Jia, Tay Kai Jun, Sudirman Siti Radhziah Binte, Loh Shaun Ray Han
机构信息
Department of Otorhinolaryngology and Head and Neck Surgery, Singapore General Hospital, Outram Road, Singapore, 169608 Singapore.
出版信息
Indian J Otolaryngol Head Neck Surg. 2024 Apr;76(2):2108-2112. doi: 10.1007/s12070-023-04430-9. Epub 2023 Dec 27.
Abstract
UNLABELLED
Thyroid storm is an acute life-threatening condition of hyperthyroidism that can present with cardiac failure, requiring extracorporeal membrane oxygenation (ECMO). We present the first case reported of total thyroidectomy successfully performed while on ECMO for thyroid storm in a 32-year-old male. This case highlights the challenges of managing refractory thyroid storm with multi-organ failure. We demonstrate that total thyroidectomy may still be safely performed while on ECMO for thyroid storm, if steps are taken to optimise the patient perioperatively, with careful surgical and anaesthesia planning.
SUPPLEMENTARY INFORMATION
The online version contains supplementary material available at 10.1007/s12070-023-04430-9.
摘要
未标注
甲状腺危象是一种危及生命的甲亢急症，可出现心力衰竭，需要体外膜肺氧合（ECMO）支持。我们报告了首例在ECMO支持下成功为一名32岁男性进行甲状腺危象全甲状腺切除术的病例。该病例凸显了治疗伴有多器官功能衰竭的难治性甲状腺危象的挑战。我们证明，如果采取措施在围手术期优化患者状况，并进行仔细的手术和麻醉规划，在ECMO支持下仍可安全地为甲状腺危象患者实施全甲状腺切除术。
补充信息
在线版本包含可在10.1007/s12070-023-04430-9获取的补充材料。
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