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首页> 美国卫生研究院文献>BMJ Case Reports >Unusual presentation of more common disease/injury: Surviving the storm: two cases of thyroid storm successfully treated with plasmapheresis
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Unusual presentation of more common disease/injury: Surviving the storm: two cases of thyroid storm successfully treated with plasmapheresis

机译：较常见的疾病/伤害的异常表现：在风暴中幸存：血浆置换术成功治疗了2例甲状腺风暴

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摘要

Thyroid storm is a rare, but critical, illness that can lead to multiorgan failure and carries a high death rate. The following case series describes two adult men with Graves’ disease who presented in thyroid storm and either failed or could not tolerate conventional medical management. However, both patients responded well to plasmapheresis, which resulted in clinical and biochemical stabilisation of their disease processes. The treatment option of plasmapheresis should be considered as a stabilising measure, especially when patients have failed or cannot tolerate conventional therapy. Plasmapheresis leads to amelioration of symptoms and a significant decline in thyroid hormone levels, providing a window to treat definitively with thyroidectomy.
机译：甲状腺风暴是一种罕见但至关重要的疾病，可导致多器官功能衰竭并导致很高的死亡率。以下病例系列描述了两名患有Graves病的成年男性，他们在甲状腺风暴中出现，要么失败要么无法忍受常规医疗管理。然而，两名患者对血浆置换反应良好，这导致其疾病过程的临床和生化稳定。血浆置换的治疗选择应被视为稳定措施，尤其是当患者失败或不能耐受常规治疗时。血浆置换导致症状改善和甲状腺激素水平显着下降，为明确进行甲状腺切除术提供了窗口。

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