华西口腔医学杂志 ›› 2021, Vol. 39 ›› Issue (4): 489-491.doi: 10.7518/hxkq.2021.04.018

• 病例报告 • 上一篇    

正颌术后严重甲状腺功能减退症1

蒋琳琳(), 罗林()   

  1. 口腔疾病研究国家重点实验室 国家口腔疾病临床医学研究中心 四川大学华西口腔医院麻醉科,成都 610041
  • 收稿日期:2020-11-06 修回日期:2021-03-20 出版日期:2021-08-01 发布日期:2021-08-10
  • 通讯作者: 罗林 E-mail:973605092@qq.com;gdllgdll@126.com
  • 作者简介:蒋琳琳,住院医师,学士,E-mail:973605092@qq.com

Severe hypothyroidism after orthognathic surgery: a case report

Jiang Linlin(), Luo Lin()   

  1. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Anesthesiology, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2020-11-06 Revised:2021-03-20 Online:2021-08-01 Published:2021-08-10
  • Contact: Luo Lin E-mail:973605092@qq.com;gdllgdll@126.com

摘要:

甲状腺功能减退症是一种常见的全身代谢减低的内分泌疾病,初诊很少发生在口腔颌面外科。因其症状无特异性,临床上极易漏诊、误诊,从而造成严重后果。本文报道1例以呼吸道阻塞、颌面部肿胀、贫血和双足水肿为主要特征的正颌术后严重甲状腺功能减退症病例,并结合文献,探讨甲状腺功能减退症的危险因素、临床表现、诊断及治疗。

关键词: 甲状腺功能减退症, 症状, 诊断

Abstract:

Hypothyroidism is a common endocrine disease with reduced systemic metabolism, but the initial diagnosis is rare in oral and maxillofacial surgery. Due to the nonspecific symptoms, it is easy to be misdiagnosed and missed diagnosis which results in serious consequences. This paper presents a case of severe hypothyroidism which was characterized by airway obstruction, facial swelling, unexplained anaemia and bipedal edema after orthognathic surgery. With review of relevant literatures, this article discusses the risk factors, symptoms, diagnosis and therapy of hypothyroidism.

Key words: hypothyroidism, symptom, diagnosis

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