emergency caesarean section in patient with thyroid storm and severe preeclampsia: a case report

نویسندگان

ولی الله حسنی

v hassani tehran university of medical sciencesدانشگاه علوم پزشکی تهران مهزاد علیمیان

m alimian tehran university of medical sciencesدانشگاه علوم پزشکی تهران محمد سعیدی

m saeidi tehran university of medical sciencesدانشگاه علوم پزشکی تهران مسعود محسنی

m mohseni tehran university of medical sciencesدانشگاه علوم پزشکی تهران پیمان یزدخواستی

چکیده

background and objectives: hyperthyroidism can occur with pregnancy. thyroid storm is a life-threatening exacerbation of hyperthyroidism. the mortality rate for thyroid storm remains surprisingly high at approximately 20%. case report: a 21-year-old primigravida woman presented at 25 weeks, with severe pre-eclampsia and uncontrolled hyperthyroidism was scheduled for emergency cesarean section. treatment includes rapid alleviation of thyrotoxicosis and general supportive care. thyroid function tests may not help in differentiating thyroid storm from symptomatic hyperthyroidism. the major risk of anesthesia in the poorly controlled thyrotoxic patient is thyroid storm, which must be aggressively treated with beta-blockers, iodide, and antithyroid drugs

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مجله دانشگاه علوم پزشکی قم

جلد ۶، شماره ۳، صفحات ۹۱-۹۴

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