紧急股骨粗隆间骨折修复术中黏液性水肿昏迷的识别与麻醉处理。

IF 2.1 Q3 ORTHOPEDICS
Orthopedic Reviews Pub Date : 2025-09-15 eCollection Date: 2025-01-01 DOI:10.52965/001c.143086
Arusa Macnojia, Marlene Lopez, Jamal Hasoon, Anvinh Nguyen
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引用次数: 0

摘要

黏液性水肿昏迷是一种罕见的、危及生命的严重、长期甲状腺功能减退的并发症,通常由生理应激如感染、创伤或手术引起。黏液水肿昏迷的围手术期表现尤其罕见。本病例报告描述了一名71岁男性,有控制不佳的甲状腺功能减退病史,因外伤性左股骨粗隆间骨折接受紧急手术固定,术中出现黏液性水肿昏迷。及时的诊断和干预,包括静脉甲状腺激素替代、皮质类固醇、血流动力学支持和严密的麻醉管理是优化患者预后的关键。本报告强调了麻醉管理在黏液水肿昏迷病例中的关键作用,强调了内分泌和血流动力学支持的重要性。此外,它促进多学科协调时,管理内分泌急诊高危手术患者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Intraoperative Recognition and Anesthetic Management of Myxedema Coma During Emergent Intertrochanteric Femur Fracture Repair.

Myxedema coma is a rare, life-threatening complication of severe, long-standing hypothyroidism, often precipitated by physiological stress such as infection, trauma, or surgery. Perioperative presentations of myxedema coma are especially uncommon. This case report describes a 71-year-old male with a history of poorly controlled hypothyroidism who underwent emergent surgical fixation of a traumatic left intertrochanteric femur fracture who developed intraoperative myxedema coma. Timely diagnosis and intervention-including intravenous thyroid hormone replacement, corticosteroids, hemodynamic support, and close anesthetic management were crucial to optimizing the patient's outcome. This report highlights the critical role of anesthetic management in myxedema coma cases, emphasizing the importance of endocrine and hemodynamic support. Furthermore, it promotes multidisciplinary coordination when managing endocrinological emergencies in high-risk surgical patients.

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来源期刊
Orthopedic Reviews
Orthopedic Reviews ORTHOPEDICS-
CiteScore
2.70
自引率
4.80%
发文量
122
审稿时长
10 weeks
期刊介绍: Orthopedic Reviews is an Open Access, online-only, peer-reviewed journal that considers articles concerned with any aspect of orthopedics, as well as diagnosis and treatment, trauma, surgical procedures, arthroscopy, sports medicine, rehabilitation, pediatric and geriatric orthopedics. All bone-related molecular and cell biology, genetics, pathophysiology and epidemiology papers are also welcome. The journal publishes original articles, brief reports, reviews and case reports of general interest.
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