患有精神状态改变和低氧血症的儿科患者：病例报告

Pediatric Patient With Altered Mental Status and Hypoxemia: Case Report.

作者信息

Root Jeremy M, Vargas Marcela, Garibaldi Luigi R, Saladino Richard A

机构信息

From the *Department of Pediatrics, University of Pittsburgh School of Medicine; †Department of Pediatrics, Children's Hospital of Pittsburgh; ‡Division of Pediatric Endocrinology, Department of Pediatrics, University of Pittsburgh School of Medicine; and §Division of Pediatric Emergency Medicine, Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, PA.

出版信息

Pediatr Emerg Care. 2017 Jul;33(7):486-488. doi: 10.1097/PEC.0000000000000722.

DOI:10.1097/PEC.0000000000000722

PMID:27050737

Abstract

Childhood cases of myxedema coma are extremely rare. We report a case of a 5-year-old girl transferred to a tertiary care pediatric emergency department with hypoxemia and altered mental status and diagnosed with severe hypothyroidism and myxedema coma in the setting of acute influenza infection. Although it is rare, myxedema coma must remain in the differential diagnosis for altered mental status and organ dysfunction in the pediatric population.

摘要

儿童黏液水肿性昏迷病例极为罕见。我们报告一例5岁女孩，因低氧血症和精神状态改变被转诊至一家三级医疗儿科急诊科，在急性流感感染背景下被诊断为严重甲状腺功能减退和黏液水肿性昏迷。尽管罕见，但在儿科人群中，黏液水肿性昏迷仍必须保留在精神状态改变和器官功能障碍的鉴别诊断中。