在一次性甲状腺功能障碍症中出现术后饥饿骨综合征:一个病例报告
Bin Li1, XiaoXu Lv, XiaoMing Li
1Department of Otorhinolaryngology, Head and Neck Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, China.
饥饿骨综合征 (HBS) 是一种罕见的,在副甲状腺切除术 (PTX) 后导致严重低血症的罕见原因. 这个案例突出了HBS管理和预测因素,以减少其发生率和持续时间.
科学领域:
- 内分泌学 在内分泌学.
- 手术瘤学手术瘤学
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 饥饿骨综合征 (HBS) 是一个严重的缺血症后副甲状腺切除术 (PTX) 的不足诊断的原因.
- 它发生在患有高骨周转率的患者中,其中甲状腺激素减少导致过度再吸收.
- 相关的低酸血和低磁血也可能发生.
研究的目的:
- 为了呈现一个副甲状腺腺瘤的PTX后的HBS病例.
- 总结HBS的预测因素和外科手术期间的管理策略.
主要方法:
- 一名57岁的女性患有症状性甲状腺功能障碍症,为甲状腺腺瘤接受了PTX.
- 手术后的HBS在第3天被诊断出来,并通过补充和其他干预措施进行管理.
- 患者的病情在9天内得到改善,13日退院.
主要成果:
- 该患者经历了PTX后9天的HBS发作.
- 通过补充和药理干预措施的成功管理导致参数的正常化.
- 患者在术后第13天出院.
结论:
- 在接受PTX的原发性甲状腺功能增强症患者中,HBS是关键考虑因素.
- 识别预测因素和优化术后管理可以减轻HBS的严重程度和持续时间.
- 这一案例强调了迅速诊断和治疗HBS的重要性.
更多相关视频
07:12Establishment of a Simple and Effective Rat Model for Intraoperative Parathyroid Gland Imaging
Published on: August 17, 2022
07:13Two Techniques to Create Hypoparathyroid Mice: Parathyroidectomy Using GFP Glands and Diphtheria-Toxin-Mediated Parathyroid Ablation
Published on: March 14, 2017
相关概念视频
Hormones and Bone Tissue
Hormones That Influence Osteoblasts and/or Maintain the Matrix
Several hormones are necessary for controlling bone growth and maintaining the bone matrix. The pituitary gland secretes growth hormone (GH), which, as its name implies, controls bone growth. This happens in several ways: first, it triggers chondrocyte...
The Parathyroid Glands
Oxyphil cells, whose functions remain elusive, emerge during late puberty, adding a layer of complexity to the parathyroid gland's intricacies. In contrast, principal parathyroid cells undertake a vital role by...
Skeleton and Calcium Homeostasis
Bone Disorders
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Bone Remodeling
Peptic Ulcer Disease V: Surgical Management and Nursing Care
Surgical Interventions for Peptic Ulcer Disease
