Surgical approach to the ophthalmopathy of Graves' disease.
Surgical approach to the ophthalmopathy of Graves' disease.
复制标题
格雷夫斯病眼病的手术方法。
DOI：
10.1001/jama.1971.03180360073011
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发表时间：
1971
期刊：
影响因子：
--
通讯作者：
L. Avioli
中科院分区：
文献类型：
--
作者：
J. Ogura;S. Wessler;L. Avioli
圣路易斯犹太医院高级住院医师助理和华盛顿大学医学院医学助理Steven Raffin博士：一名35岁的白色女性因9个月的进行性“眼肿胀”、双侧视力丧失和前额头痛住院。入院前一年，诊断为甲状腺功能亢进症，并进行甲状腺次全切除术。患者随后在门诊接受随访，并继续维持术后甲状腺功能正常状态，未使用补充甲状腺药物。入院前1周获得的最近血清蛋白结合碘值为4.5 μg/100 ml。体格检查发现一名发育良好的妇女处于中度痛苦状态。血压为178/120 mm Hg;脉率为每分钟76次，规律，呼吸频率为每分钟18次。最显著的发现是严重的双侧视乳头水肿、角膜溃疡、眼球突出、结膜水肿和球结膜水肿（图1，右）。同样明显
Dr. Steven Raffin, Senior Assistant Resident in Medicine, Jewish Hospital of St. Louis, and Assistant in Medicine, Washington University School of Medicine: A 35-year-old white woman was hospitalized with a nine-month history of progressive "eye swelling," visual loss bilaterally, and frontal headaches. One year prior to admission, the diagnosis of hyperthyroidism had been established and subtotal thyroidectomy performed. The patient had been followed up subsequently in the outpatient clinic and continued to maintain the post-operative euthyroid state without supplemental thyroid medication. The most recent serum protein-bound iodine value, obtained one week prior to admission, was 4.5 μg/100 ml. Physical examination revealed a well-developed woman in moderate distress. The blood pressure was 178/120 mm Hg; pulse rate was 76 beats per minute and regular, and respiratory rate was 18 per minute. The most striking findings were severe, bilateral papilledema, corneal ulcerations, proptosis, conjunctival edema, and chemosis (Fig 1,right). Also apparent