中华内分泌代谢杂志
中華內分泌代謝雜誌
중화내분비대사잡지
CHINESE JOURNAL OF ENDOCRINOLOGY AND METABOLISM
2014年
2期
153-155
,共3页
张洪梅%方文军%胡静芳%苏青
張洪梅%方文軍%鬍靜芳%囌青
장홍매%방문군%호정방%소청
急性甲亢性延髓麻痹%肌病%吞咽困难
急性甲亢性延髓痳痺%肌病%吞嚥睏難
급성갑항성연수마비%기병%탄인곤난
Acute bulbar palsy%Myopathy%Dysphagia
急性甲亢性延髓麻痹是一种十分罕见的甲亢性肌病,起病急,进展快,常在数周内发展到严重状态,出现吞咽困难,发音不准,严重者危及患者生命.大多数患者在有效的抗甲状腺治疗后,吞咽困难等症状通常在3周内可完全缓解.本文详细介绍1例甲亢性延髓麻痹的临床特点及处理原则,以便于临床医生及时发现及处理该疾病.
急性甲亢性延髓痳痺是一種十分罕見的甲亢性肌病,起病急,進展快,常在數週內髮展到嚴重狀態,齣現吞嚥睏難,髮音不準,嚴重者危及患者生命.大多數患者在有效的抗甲狀腺治療後,吞嚥睏難等癥狀通常在3週內可完全緩解.本文詳細介紹1例甲亢性延髓痳痺的臨床特點及處理原則,以便于臨床醫生及時髮現及處理該疾病.
급성갑항성연수마비시일충십분한견적갑항성기병,기병급,진전쾌,상재수주내발전도엄중상태,출현탄인곤난,발음불준,엄중자위급환자생명.대다수환자재유효적항갑상선치료후,탄인곤난등증상통상재3주내가완전완해.본문상세개소1례갑항성연수마비적림상특점급처리원칙,이편우림상의생급시발현급처리해질병.
Acute bulbar palsy is considered an extremely rare manifestation of neuromuscular disorder in thyrotoxicosis.It happens abruptly and progresses quickly,sudden onset of dysphagia is common.It will endanger patient's life without proper treatment.The definite treatment of acute bulbar palsy in hyperthyroidism is to restore the euthyroid state.The dysphagia usually resolves within 3 to 4 weeks.In this article a case of thyrotoxicosis with acute bulbar palsy in reported herewith to call attention to the diagnosis and treatment of this disorder.