在体外膜氧合治疗甲状腺风暴的同时进行全甲状腺切除术。

IF 0.6 Q4 SURGERY

Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2024-04-01 Epub Date: 2023-12-27 DOI:10.1007/s12070-023-04430-9

Jia Jia Wee, Kai Jun Tay, Siti Radhziah Binte Sudirman, Shaun Ray Han Loh

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引用次数: 0

摘要

甲状腺风暴是一种危及生命的急性甲状腺功能亢进症，可伴有心力衰竭，需要进行体外膜肺氧合（ECMO）。我们介绍了首例因甲状腺风暴而在使用 ECMO 时成功实施甲状腺全切除术的病例，患者是一名 32 岁的男性。该病例凸显了治疗难治性甲状腺风暴合并多器官功能衰竭所面临的挑战。我们证明，如果采取步骤优化患者围手术期，并制定周密的手术和麻醉计划，在使用ECMO治疗甲状腺风暴时仍可安全地实施全甲状腺切除术：在线版本包含补充材料，可在 10.1007/s12070-023-04430-9上查阅。

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Total Thyroidectomy while on Extracorporeal Membrane Oxygenation for Thyroid Storm.

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.

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来源期刊

Indian Journal of Otolaryngology and Head and Neck Surgery Medicine-Otorhinolaryngology

CiteScore

0.80

自引率

0.00%

发文量

226

审稿时长

6-12 weeks

期刊介绍： Indian Journal of Otolaryngology and Head & Neck Surgery was founded as Indian Journal of Otolaryngology in 1949 as a scientific Journal published by the Association of Otolaryngologists of India and was later rechristened as IJOHNS to incorporate the changes and progress. IJOHNS, undoubtedly one of the oldest Journals in India, is the official publication of the Association of Otolaryngologists of India and is about to publish it is 67th Volume in 2015. The Journal published quarterly accepts articles in general Oto-Rhino-Laryngology and various subspecialities such as Otology, Rhinology, Laryngology and Phonosurgery, Neurotology, Head and Neck Surgery etc. The Journal acts as a window to showcase and project the clinical and research work done by Otolaryngologists community in India and around the world. It is a continued source of useful clinical information with peer review by eminent Otolaryngologists of repute in their respective fields. The Journal accepts articles pertaining to clinical reports, Clinical studies, Research articles in basic and applied Otolaryngology, short Communications, Clinical records reporting unusual presentations or lesions and new surgical techniques. The journal acts as a catalyst and mirrors the Indian Otolaryngologist’s active interests and pursuits. The Journal also invites articles from senior and experienced authors on interesting topics in Otolaryngology and allied sciences from all over the world. The print version is distributed free to about 4000 members of Association of Otolaryngologists of India and the e-Journal shortly going to make its appearance on the Springer Board can be accessed by all the members. Association of Otolaryngologists of India and M/s Springer India group have come together to co-publish IJOHNS from January 2007 and this bondage is going to provide an impetus to the Journal in terms of international presence and global exposure.