青少年创伤相关的甲状腺危象：一例报告
Trauma-related thyroid storm in adolescents: A case report.
作者信息
Jinno Atsushi, Bunya Naofumi, Hagiwara Junya, Takao Kai, Sawamoto Keigo, Ishii Akira, Tsugawa Takeshi, Narimatsu Eichi, Tsuji Yoshihisa
机构信息
Department of General Medicine Sapporo Medical University Sapporo Japan.
Department of Emergency Medicine Sapporo Medical University Sapporo Japan.
出版信息
Acute Med Surg. 2024 Aug 27;11(1):e70004. doi: 10.1002/ams2.70004. eCollection 2024 Jan-Dec.
BACKGROUND
Because of a scant report, it is little known that thyroid storms can occur after trauma, even in adolescence. Significantly, this increases the risk of delaying diagnosis resulting in life-threatening.
CASE PRESENTATION
A 13-year-old girl was admitted to the emergency department after a traffic accident. Despite receiving comprehensive trauma care, the patient developed hyperthermia and tachycardia that did not respond to temperature management therapy. On the 10th day of her admission, she was diagnosed with a thyroid storm. Treatment for thyroid storm was initiated; thereby, her condition was totally improved.
CONCLUSION
We experienced a case of an adolescent girl, who developed a thyroid storm during the treatment of trauma and could save her life. Clinicians should consider thyroid storm in post-traumatic hyperthermia and tachycardia patients, even in children.
背景
由于相关报道较少，鲜为人知的是甲状腺危象可发生于创伤后，甚至在青少年中。重要的是，这增加了延迟诊断导致危及生命的风险。
病例介绍
一名13岁女孩在交通事故后被送入急诊科。尽管接受了全面的创伤护理，但患者仍出现高热和心动过速，对体温管理治疗无反应。入院第10天，她被诊断为甲状腺危象。开始了甲状腺危象的治疗；因此，她的病情完全好转。
结论
我们遇到了一例青少年女孩，她在创伤治疗期间发生了甲状腺危象，并得以挽救生命。临床医生应考虑到创伤后高热和心动过速患者，即使是儿童，也可能发生甲状腺危象。
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