Satoh O, Miyabe M, Kawamata M, Nakae Y, Tsukamoto T, Namiki A
Department of Anesthesia, Kushiro City General Hospital.
Masui. 1994 Mar;43(3):383-7.
A 57-yr-old male with atrial septal defect (ASD) was scheduled for the patch closure operation. The patient had a history of hyperthyroidism due to giant adenoma of the thyroid gland. The patient was controlled under euthyroid state by thiamazole for four years. With this treatment, his thyroid function became normal and he was doing well for over the last seven years. On the morning of the day of operation, thiamazole was given orally to this patient. When the ASD patch closure was performed, the examination of his thyroid gland revealed hypothyroidism, but the operation could be performed without any thyroidal trouble. After the operation thiamazole was given intramuscularly to this patient and from the next day it was continued orally. Thyroid storm did not occur after the operation until discharge. We conclude that in a case of heart disease with hyperthyroidism, it is important to keep the patient's thyroid function under normal for a long time before surgery.
一名57岁患有房间隔缺损（ASD）的男性计划接受补片闭合手术。该患者有因甲状腺巨大腺瘤导致的甲状腺功能亢进病史。患者服用甲巯咪唑四年，甲状腺功能维持在正常状态。在这种治疗下，他的甲状腺功能恢复正常，并且在过去七年中情况良好。手术当天上午，该患者口服了甲巯咪唑。在进行房间隔缺损补片闭合手术时，对其甲状腺的检查显示为甲状腺功能减退，但手术得以顺利进行，未出现任何甲状腺相关问题。术后，该患者接受了甲巯咪唑肌肉注射，从第二天起继续口服。术后直至出院，均未发生甲状腺危象。我们得出结论，对于患有甲状腺功能亢进的心脏病患者，在手术前长期将患者的甲状腺功能维持在正常水平非常重要。
