唐氏综合征伴钻孔手术的甲状腺风暴:1例报告

Q3 Medicine
Ayyesha Yuanita , Hermina Novida
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引用次数: 0

摘要

唐氏综合征(DS)合并甲状腺功能亢进患者发生意外伤害需要手术治疗是一种罕见的病例,其中甲状腺激素的控制对手术成功起着至关重要的作用。病例介绍:一名33岁的印度尼西亚妇女意外脑损伤并逐渐失去意识。她出生时患有退行性椎体滑移,事先没有接受过医疗咨询。在急诊室,她被诊断为甲状腺功能亢进和急性硬膜下血肿。根据Burch-Wartofsky (BW)评分,检查显示甲状腺风暴即将来临(40分)。治疗甲状腺功能亢进的目的是避免双钻孔引流前、引流中、引流后甲状腺风暴的发生,并给予糖皮质激素和抗甲状腺药物治疗。术后随访6个月,病情明显好转。结论处理甲状腺功能亢进对DS钻孔引流术患者改善手术效果、控制心排血量、减少甲状腺风暴有重要作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Impending thyroid storm in a case of Down syndrome with burr hole surgery: A case report

Introduction

An accidental injury requiring surgery in a patient with Down syndrome (DS) and hyperthyroidism is an uncommon case, in which thyroid hormone control plays a crucial role in successful surgery.

Case presentation

An Indonesian woman, 33 years old, suffered an accidental brain injury and gradually lost consciousness. She was born with DS and had no prior medical consultation. At the emergency room, she was diagnosed with hyperthyroidism and an acute subdural hematoma. According to the Burch-Wartofsky (BW) score, the examination revealed an impending thyroid storm (40 points). Management of hyperthyroidism aims to avoid the thyroid storm before, during, and after double burr hole drainage, which is treated with glucocorticoid and antithyroid drugs. She was followed up for 6 months after surgery and had considerable improvement.

Conclusion

Management of hyperthyroidism have a crucial role in DS patient with burr hole drainage to improve surgical outcomes, control of cardiac output, and minimize thyroid storm.
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来源期刊
Endocrine and Metabolic Science
Endocrine and Metabolic Science Medicine-Endocrinology, Diabetes and Metabolism
CiteScore
2.80
自引率
0.00%
发文量
4
审稿时长
84 days
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