治疗性血交换在耐火性心房的第二次甲状腺风暴的甲状腺风暴
Sara AlShehri1, Marwah Bafadel2, Naji Aljohani3,4
1Endocrinology, Diabetes, and Metabolism, Princess Nourah Bint Abdulrahman University, Riyadh, SAU.
Cureus
|December 21, 2023
概括
甲状腺风暴是一种严重的甲状腺功能障碍并发症,可以导致危及生命的心脏问题. 治疗性血交换 (TPE) 在甲状腺风暴的标准治疗失败时提供了一种拯救生命的替代方案.
科学领域:
- 内分泌学 在内分泌学.
- 心脏病学 心脏病学
- 关键护理医学 关键护理医学
背景情况:
- 甲状腺毒性危机 (甲状腺风暴) 是甲状腺功能障碍症的严重表现.
- 心脏并发症,包括高血压,低心率,心力衰竭和心房动,在甲状腺风暴中是常见的和危及生命的.
研究的目的:
- 报告甲状腺风暴病例与耐火性心房动成功通过治疗性血交换 (TPE) 管理.
- 在传统疗法失败时,强调TPE作为拯救生命的干预措施.
主要方法:
- 一名27岁的女性患有不合规的甲状腺功能障碍症,出现甲状腺风暴和耐火性心房动.
- 标准治疗包括阿米奥达龙,β-阻断剂和心脏转变是无效的.
- 启动了治疗性血交换 (TPE),患者接受了三次治疗.
主要成果:
- 在第一个TPE会话之后,患者的心脏节奏转换为鼻节奏.
- 心率正常化至每分钟100次以下.
- 在TPE后观察到显著的临床和生化改善.
结论:
- 甲状腺风暴的心脏并发症是关键的,可能致命的.
- 甲状腺状况的快速正常化对于扭转这些并发症至关重要.
- 治疗性血交换 (TPE) 是甲状腺风暴的安全和有效选择,当传统疗法不足或失败时,特别是在末端器官损伤的情况下.
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