Department of Thoracic and Cardiovascular Surgery, West China Hospital, Sichuan University, Chengdu, China.
Ann Thorac Surg. 2010 Jul;90(1):295-7. doi: 10.1016/j.athoracsur.2010.01.073.
For most patients with esophageal cancer, esophagectomy is an effective therapy. Perioperative management is critical for clinical outcomes after the operation. Great efforts should be made to avoid postoperative complications. We report myxedema coma, an emergency condition caused by severe hypothyroidism, after a patient underwent esophagectomy for esophageal cancer. The patient was successfully treated with intravenous levothyroxine. We strongly recommend that physicians test the thyroid hormone levels in patients with risk factors. If myxedema coma occurs, immediate use of intravenous levothyroxine is effective for this lethal complication.
对于大多数食管癌患者，手术切除是一种有效的治疗方法。围手术期管理对于术后的临床结果至关重要。应尽力避免术后并发症。我们报告了一例食管癌手术后发生黏液水肿性昏迷的病例，这是一种由严重甲状腺功能减退引起的紧急情况。患者经静脉给予左甲状腺素治疗后成功康复。我们强烈建议医生对有危险因素的患者检测甲状腺激素水平。如果发生黏液水肿性昏迷，立即使用静脉内左甲状腺素对这种致命并发症有效。
