Storm-Like Symptoms after Thyroidectomy for Hyperthyroidsm.

概要

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Between 1993 and 2001, 144 patients underwent subtotal or total thyroidectomy for hyperthyroidism (Grave's disease) in Tenri Hospital. Storm-like symptoms such as fever, tachycardia and nervousness were observed in 3 patients. All of them showed minor toxicity, and were treated by hydration, application of cold, intravenous hydrocortisone and oral β-blockers. Since the levels of thyroid hormones did not rise in these cases, we considered these post-operative complications were due to high-sensitivity against thyroid hormone. The likelihood of patients' weathering post-operative toxicities can be predicted retrospectively by their response to preoperative treatment. Patients who were difficult to control with low-grade fever and tachcardia suffered minor crises after subtotal-thyroidectomy.
耳鼻咽喉科臨床学会の論文