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附甲状腺瘤后的自发部出血:病例描述和系统审查

Alberto Vito Marcuzzo¹, Sara Fadda¹, Kevin Cargnelutti¹

¹ENT Clinic, Head and Neck Department, Azienda Sanitaria Universitaria Giuliano Isontina, Trieste, Italy.

Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale

|March 18, 2025

概括

自发的甲状腺腺瘤出血很少发生,但严重. 关键症状包括部胀,疼痛和吞困难,手术切除腺瘤是主要治疗方法.

科学领域:

内分泌学在内分泌学.
手术病理学手术病理学
医学诊断医学诊断医学诊断

背景情况:

副甲状腺瘤很少引起自发的,危及生命的出血.
诊断这种情况带来了重大挑战.

研究的目的:

为了更清楚地定义与副甲状腺腺瘤出血相关的症状模式.
阐明这种罕见疾病的诊断方法和治疗策略.

主要方法:

按照PRISMA指南进行了一次系统的文献审查.
在PubMed,Google Scholar和Embase数据库中搜索了1974年至2020年的相关案例报告.
提取的数据包括流行病学,临床特征和治疗结果.

主要成果:

对38个病例报告的分析确定了45名患有宫血瘤的患者,原因是副甲状腺腺瘤出血.
常见的临床表现包括部疼痛,消化不良和胀,主要发生在中年妇女身上.
手术去除腺瘤是主要的治疗方法,并发症率低,平均住院时间为12.5天.

结论:

在中年妇女出现部胀,疼痛和消化不良时,应怀疑甲状腺腺瘤出血.
诊断通常包括生物化学测试和对比增强计算机断层扫描 (CT).
手术切除腺瘤是推的治疗方法,通常会产生有利的结果.

关键词:

副甲状腺腺瘤副甲状腺腺瘤自发的宫血瘤自发的子宫出血.

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