甲状腺手术后医源性急性脊髓损伤致四肢瘫痪 1 例
A case of iatrogenic acute spinal cord injury with tetraplegia following thyroid surgery.
机构信息
Department of Spinal Surgery, Yancheng Branch of Nanjing Drum Tower Hospital, Yancheng, Jiangsu Province, China.
Department of Neurology, Yancheng Branch of Nanjing Drum Tower Hospital, Yancheng, Jiangsu Province, China.
出版信息
Am J Otolaryngol. 2024 Jul-Aug;45(4):104305. doi: 10.1016/j.amjoto.2024.104305. Epub 2024 Apr 19.
AIM
Iatrogenic acute spinal cord injury with tetraplegia is a serious consequence of non-spinal surgery.We report a case of acute spinal cord injury with tetraplegia after thyroid surgery.
METHOD
The patient was pathologically diagnosed with papillary carcinoma, underwent left thyroidectomy, and developed tetraplegia after surgery.
RESULT
The patient was diagnosed with acute spinal cord injury with tetraplegia and cured after anti-inflammatory and dehydrating treatment.
CONCLUSION
Iatrogenic spinal cord injuries after elective non-spinal surgery can have catastrophic consequences, and clinicians must be alert to this possibility in clinical practice.
目的
非脊柱手术导致的医源性急性脊髓损伤并四肢瘫痪是一种严重的后果。我们报告了一例甲状腺手术后发生急性脊髓损伤并四肢瘫痪的病例。
方法
患者经病理诊断为甲状腺乳头状癌，行左甲状腺切除术，术后发生四肢瘫痪。
结果
患者被诊断为急性脊髓损伤并四肢瘫痪，经抗炎和脱水治疗后治愈。
结论
择期非脊柱手术导致的医源性脊髓损伤可能产生灾难性后果，临床医生在临床实践中必须警惕这种可能性。
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