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本文首次报道一例用锂制剂作术前准备、术后暴发甲状腺危象的病例,作者提醒人们术前单用锂作准备时应注意此并发症的发生。病例报告 D、N为18岁,女性,因患严重甲状腺中毒症于1983年12月9日入院。7岁时曾诊断过毒性甲状腺肿,有此病家族史。入院时体重99磅,脉搏100次/分,体温正常,轻度眼球突出,甲状腺呈弥漫性肿大且有杂音,两肺有喘鸣音,心尖部可闻及Ⅰ～Ⅱ级收缩期杂音。白细胞11300/mm(?),分叶75%、杆状20%、淋巴11%、单核12%,血糖164 mg/dl,BUN 25 mg/dl,肌酸0.6 mg/dl。除有窦性心动过速外,心电图和胸片正常。
This article reports for the first time a case of lithium preparations for preoperative preparation, postoperative thyroid crisis outbreak of the cases, the authors remind people preoperative lithium preparation should pay attention to the occurrence of this complication. Case Report D, N 18-year-old female, admitted to hospital on December 9, 1983 due to severe thyroid desease. 7-year-old had been diagnosed with toxic goiter, family history of this disease. Admission weight 99 pounds, pulse 100 beats / min, normal body temperature, mild eyeballs, thyroid was diffuse swelling and murmur, lungs have wheezing, apex can be heard Ⅰ ~ Ⅱ systolic murmur. Leukocyte 11300 / mm (?), Lobulation 75%, rod 20%, lymph 11%, mononuclear 12%, blood glucose 164 mg / dl, BUN 25 mg / dl, creatine 0.6 mg / dl. In addition to sinus tachycardia, ECG and chest X-ray normal.