血浆置换成功治疗甲状腺毒症危象。

Successful treatment of thyrotoxic crisis with plasma exchange.

作者信息

Tajiri J, Katsuya H, Kiyokawa T, Urata K, Okamoto K, Shimada T

出版信息

Crit Care Med. 1984 Jun;12(6):536-7. doi: 10.1097/00003246-198406000-00016.

DOI:10.1097/00003246-198406000-00016

Abstract

A 36-yr-old woman with thyroid storm was successfully treated with plasma exchange. After the first plasma exchange, free serum thyroxine (T4) was decreased and serum thyroxine-binding globulin (TBG) was significantly increased. The decrease in the patient's free T4 level after plasma exchange can perhaps be attributed to T4's increased binding capacity. Plasma exchange may be an effective therapy for thyrotoxic crisis and should be performed immediately if conventional therapy fails to improve the patient's condition.

摘要

一名36岁患有甲状腺危象的女性通过血浆置换得到成功治疗。首次血浆置换后，血清游离甲状腺素（T4）降低，血清甲状腺素结合球蛋白（TBG）显著升高。血浆置换后患者游离T4水平的降低可能归因于T4结合能力的增加。血浆置换可能是治疗甲状腺毒症危象的有效疗法，若传统疗法未能改善患者病情，应立即进行血浆置换。