Pandya K, Lal C, Scheinhorn D, Day I K, Sharma O P
Department of Pulmonary Medicine, Barlow, Los Angeles.
Arch Intern Med. 1989 Sep;149(9):2115-6.
Four patients with long-term ventilator dependency and severe hypothyroidism discovered in a single year are described. Correction of hypothyroidism was helpful in weaning three patients from the ventilator. The fourth patient died of other medical problems. None of these patients had goiter or clinical evidence of hypothyroidism. Hypothyroidism was discovered during workup for neurologic or cardiologic problems. Although hypothyroidism is not a common cause of ventilator dependency, it might be more common than we think.
本文描述了在同一年中发现的4例长期依赖呼吸机且患有严重甲状腺功能减退症的患者。甲状腺功能减退症的纠正有助于3例患者脱机。第4例患者死于其他医疗问题。这些患者均无甲状腺肿或甲状腺功能减退症的临床证据。甲状腺功能减退症是在对神经或心脏问题进行检查时发现的。虽然甲状腺功能减退症不是呼吸机依赖的常见原因，但可能比我们想象的更常见。
