黏液性水肿昏迷合并肾衰竭的诊断：一例报告

Diagnosis of myxedema coma complicated by renal failure: a case report.

作者信息

Takamura Akiteru, Sangen Ryusho, Furumura Yoshiki, Usuda Daisuke, Kasamaki Yuji, Kanda Tsugiyasu

机构信息

Department of General Medicine Center Kanazawa Medical University Hospital 1-1 Uchinada Kahoku-gun Ishikawa Japan; Department of Medical Education Kanazawa Medical University 1-1 Uchinada Kahoku-gun Ishikawa Japan; Department of Family Medicine Mie University Graduate School of Medicine 2-174 Edo-bashi Tsu Mie Japan.

Department of General Medicine Himi Municipal Hospital Kanazawa Medical University 31-9 Saiwai-cho Himi Toyama Japan.

出版信息

Clin Case Rep. 2017 Feb 21;5(4):399-402. doi: 10.1002/ccr3.850. eCollection 2017 Apr.

DOI:10.1002/ccr3.850

PMID:28396755

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5378864/

Abstract

Myxedema coma, caused by severe lack of thyroid hormone, is characterized by deterioration of mental status, hypothermia, hypotension, hyponatremia, and hypoventilation. We describe an 84-year-old woman who presented with renal failure and new onset severe hypothyroidism leading to challenges in the recognition of myxedema coma.

摘要

黏液性水肿昏迷由严重甲状腺激素缺乏引起，其特征为精神状态恶化、体温过低、低血压、低钠血症和通气不足。我们描述了一名84岁女性，她出现肾衰竭并新发严重甲状腺功能减退，导致在识别黏液性水肿昏迷方面存在挑战。