未诊断甲状腺功能亢进患儿心脏手术术后发生甲状腺危象的围手术期管理1例  

Perioperative management of congenital heart disease child patient with undiagnosed hyperthyroidism: one case report

作　　者：程文莉[1] 王洪武[1] 薛玉良[1] Cheng Wenli;Wang Hongwu;Xue Yuliang(Department of Anesthesiology, Teda Intemotional Cardiovascular Hospital, Tianjin 300457, China)

机构地区：[1]泰达国际心血管病医院麻醉科,天津300457

出　　处：《国际麻醉学与复苏杂志》2019年第4期342-344,共3页International Journal of Anesthesiology and Resuscitation

摘　　要：儿童甲状腺功能亢进(甲亢)发病率低,却是小儿内分泌疾病中最常见的疾病之一,但因其初发症状不典型,常常延误诊断或漏诊。未经诊断的甲亢患儿行手术治疗发生甲状腺危象的概率较大,甲状腺危象的病死率高达8%~25%。报道成功救治未诊断甲亢患儿行心脏手术术后发生甲状腺危象1例,分享围手术期的经验和不足,为这类患儿的麻醉管理提供参考。Child hyperthyroidism is one of the most common pediatric endocrine diseases, and often be misdiagnosed or missed diagnosed due to its atypical symptoms in the initial stage. Child patients with undiagnosed hyperthyroidism are more likely to present thyroid crisis, with a mortality of 8%-25%. This study reports a case of thyroid crisis in a child patient with undiagnosed hyperthyroidism after cardiac surgery, and discusses the experience of perioperative management, which provide evidence for anesthetic management of such child patients.

关 键 词：先天性心脏病 儿童 甲状腺功能亢进 甲状腺危象 麻醉 

分 类 号：R726.1[医药卫生—儿科]