冠状动脉造影术后甲状腺功能亢进症1例
杨丽萍,孟繁波
摘要(Abstract):
<正>1临床资料患者男,52岁。主因"突发剧烈胸痛30 min"急诊入住吉林大学中日联谊医院。胸痛性质呈压榨样,口服硝酸甘油症状未缓解,并伴有大汗、气促、面色苍白。既往体健,否认个人及家族甲状腺疾病史,否认手术、外伤史,否认用药及食物过敏史。体格检查示:体温36.2℃,血压108/74 mmH g(1 mmH g=0.133 kP a),心率90次/min,呼吸22次/min,心脏听诊提示第一心音低钝。实验室检查示:肌钙蛋白I
关键词(KeyWords): 甲状腺功能亢进症;冠状动脉造影;非离子型对比剂
基金项目(Foundation):
作者(Author): 杨丽萍,孟繁波
参考文献(References):
- [1]Trumbo P,Yates AA,Schlicker S,et al.Dietary reference intakes:vitamin A,vitamin K,arsenic,boron,chromium,copper,iodine,iron,manganese,molybdenum,nickel,silicon,vanadium,and zinc.J Am Diet Assoc,2001,101(3):294-301.
- [2]Wolff J,Chaikoff IL.Plasma inorganic iodide as a homeostatic regulator of thyroid function.J Biol Chem,1948,174(2):555-564.
- [3]Eng PH,Cardona GR,Fang SL,et al.Escape from the acute Wolff-Chaikoff effect is associated with a decrease in thyroid sodium/iodide symporter messenger ribonucleic acidand protein.Endocrinology,1999,140(8):3404-3410.
- [4]Higgs M,Hull E,Lujan E.A case report of post-operative jdbasedow phenomennon following oral and IV iodine contrast administration.Case Rep Endocrinol,2014,2014:980283.
- [5]Bhre M,Hilgers R,Lindemann C,et al.Thyroid autonomy:sensitive detection in vivo and estimation of its functional relevance using quantified high-resolution scintigraphy.Acta Endocrinol(Copenh),1988,117(2):145-153.
- [6]Bürgi H.Iodine excess.Best Pract Res Clin Endocrinol Metab,2010,24(1):107-115.
- [7]Stanbury JB,Ermans AE,Bourdoux P,et al.Iodine-induced hyperthyroidism:occurrence and epidemiology.Thyroid,1998,8(1):83-100.
- [8]Fassbender WJ,Schlüter S,Stracke H,et al.Thyroid function after iodine-containing contrast agent administration in coronary angiography:a prospective study of euthyroid patients.Z Kardiol,2001,90(10):751-759.
- [9]Atwell TD,Lteif AN,Brown DL,et al.Neonatal thyroid function after administration of IV iodinated contrast agent to 21 pregnant patients.AJR Am J Roentgenol,2008,191(1):268-271.
- [10]Nygaard B,Nygaard T,Jensen LI,et al.Iohexol:effects on uptake of radioactive Iodine in the thyroid and on thyroid function.Acad Radiol,1998,5(6):409-414.
- [11]Van der Molen AJ,Thomsen HS,Morcos SK,et al.Effect of iodinated contrast media on thyroid function in adults.Eur Radiol,2004,14(5):902-907.
- [12]Dembinski J,Arpe V,Kroll M,et al.Thyroid function in very low birth weight infants after intravenous administration of the iodinated contrast medium iopromide.Arch Dis Child Fetal Neonatal Ed,2000,82(3):F215-F217.