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| 1 | Therapeutic plasma exchange and a double plasma molecular absorption system in the treatment of thyroid storm with severe liver injury: A case report显示文摘BACKGROUND Thyroid storm is resistant to conventional treatments including antithyroid drugs and 131I therapeutic means.Plasma exchange(PE)and double plasma molecular absorption system(DPMAS)can be used as an effective treatment for thyroid storm with severe liver injury.CASE SUMMARY A 52-year-old woman presented with a 10-day history of nausea and vomiting accompanied by yellowing of the skin and mucosa.Further,her free T3(FT3)and FT4 levels were significantly elevated,whereas her thyrotropin level was reduced.After admission,her condition continued to deteriorate,and she presented with continued high fever,vomiting,palpitation,and shortness of breath.After being diagnosed with thyroid storm,the patient was immediately treated with PE combined with DPMAS.Her symptoms improved immediately.After three PE+DPMAS treatments,and she was discharged from the hospital.She was treated with methylprednisolone and methylthimidazole.After six months,the patient spontaneously discontinued methylthimidazole treatment.Her previous clinical manifestations and liver dysfunction reoccurred.The patient was treated with PE+DPMAS two times,and her condition rapidly improved.Liver histopathology indicated immunological liver injury.CONCLUSION Our experience suggests that PE combined with DPMAS can effectively relieve the development of thyroid storm. | You-Wen Tan Li Sun Kai Zhang Li Zhu | 2019 | World Journal of Clinical Cases2019，7，10： | 8 |
| 2 | 颅脑外伤术后诱发甲状腺危象1例显示文摘甲亢危象是甲状腺功能亢进的一种危重状态,多见于甲亢术后,也可以在各种刺激或应激状态下发生。本例患者因严重颅脑外伤,必须立即手术以挽救生命,无法进行完善的术前准备,术后发生甲亢危象的风险加大。临床医生特别是非专科医生,要提早判断,早做准备,重视患者的全身情况。 | 龚剑 | 2011 | 中国医药科学2011，1，16： | 0 |
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