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2015, Number 615

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Rev Med Cos Cen 2015; 72 (615)

Manifestaciones de la descompensación tiroidea y riesgo quirúrgico

Pereira AJ
Full text How to cite this article

Language: Spanish
References: 15
Page: 471-475
PDF size: 233.38 Kb.


Key words:

hipertiroidismo, hipotiroidismo, mixedema, descompensación tiroidea/hyperthyroidism, hypothyroidism, myxedema, thyroid imbalance.

ABSTRACT

Disorders Thyroid hormones are important cause of consultation, being in some cases challenging their diagnosis, treatment and systemic compensation; may be associated with the need for surgical treatment for other diseases other comorbidities. In conditions that increase the physiological stress morbidity and mortality rises and appreciation for multidisiplinario equipment (7) to assess the risk-benefit of treatment and / or surgery, complications and management (10) is required. This revision develop complications and common and severe clinical manifestations that may develop patient with impaired thyroid function when subjected to greater physiological stress, giving emphasis to myxedema, thyroid storm / thyrotoxicosis.


REFERENCES

  1. American Thyroid Association. 2013. http://www.thyroid.org/wp-content/ uploads/patients/brochures/espanol/ hipotiroidismo.pdf

  2. Almandoz J, Gharib H, Hypothyroidism: Etiology, Diagnosis, and Management. Elsevier Inc. Marzo 2012. Volumen 96, pág 203-221.

  3. Bergoglio, L; Mestman, J. Guía de Consenso para el Diagnóstico y Seguimiento de la Enfermedad Tiroidea. Acta Bioquímica Clínica Latinoamericana. Abril-junio 2007. Volumen 41, Nº 3.

  4. Castro I, Quisenberry L, Calvo RM, Obregon MJ, Lado-Abeal J. Septic shock non-thyroidal illness syndrome causes hypothyroidism and conditions for reduced sensitivity to thyroid hormone. J Mol Endocrinol PubMed. Mar 2013. 18;50(2):255-66.

  5. Chernow B., Burman K.D., Johnson D.L., et al: Surgical Management of Thyroid Disease. Journar of Intensive Care Medicine 11. (2): 99-104.1983

  6. Devdhar M, Ousman H, Burman K, Hypothyroidism. Elsevier Inc. Setiembre 2013. Volumen 36, Issue 3.

  7. Ellen F Manzullo, MD, FACPDouglas S Ross, MD Nonthyroid surgery in the patient with thyroid disease. PubMed - MEDLINE. Julio 2012; 65(8):720-3. PMID: 22868435

  8. Encuesta Nacional de Salud (2009-2010). Departamento de Epidemología. Ministerio de Salud de Chile

  9. Ersoy K, Anaforoğlu İ, Algün E. Serum ischemic modified albumin levels might not be a marker of oxidative stress in patients with hypothyroidism. Endocrine. Abril 2013. Volumen 43(2):430-3.

  10. García, R. Ríos, M, Galofré2, JC. Epidemiología de las enfermedades de la glándula tiroides en Galicia. Revista Médica Universal. 2006. Volumen 50, Nº 1. pág 11-16

  11. Hammami MM, Almogbel F, Hammami S, Faifi J, Alqahtani A, et al. Acute severe hypothyroidism is not associated with hyponatremia even with increased water intake: a prospective study in thyroid cancer patients. BMC Endocr Disord. Julio 2013. 31;13(1):27.

  12. Holvey D.N, Goodner C.J, Nicoloff J.T, et al: Treatment of myxedema coma with intravenous thyroxine. Arch Intern Med 113. 89-96.1964;

  13. Liberman, C. Prevalencia e Incidencia de los Principales Trastornos Endocrinos y Metabólicos Rev. Med. Clin. Condes - 2013; 24(5) 735-741

  14. Morgan G, Mikhail M, Clinical Anesthesiology. Mc Graw Hill. 5a Edición. 2012. México

  15. Solano , Jr, Jr.F.X, Starling R.C, Levey G.S. Myxedema megacolon. Arch Intern Med 1985. 145. 231.




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Rev Med Cos Cen. 2015;72