加纳黏液水肿性昏迷患者管理中的挑战：一例报告
Challenges in the Management of a Patient with Myxoedema Coma in Ghana: A Case Report.
作者信息
Akpalu Josephine, Atiase Yacoba, Yorke Ernest, Fiscian Henrietta, Kootin-Sanwu Cecilia, Akpalu Albert
机构信息
Endocrinology Unit, Department of Medicine and Therapeutics, School of Medicine and Dentistry, College of Health Sciences, University of Ghana, P.O. Box GP 4236, Accra, Ghana.
Endocrinology Unit, Korle Bu Teaching Hospital, P.O. Box KB 77, Korle Bu.
出版信息
Ghana Med J. 2017 Mar;51(1):39-42. doi: 10.4314/gmj.v51i1.8.
UNLABELLED
Myxoedema coma is a rare life-threatening disease, and it is essential that it is managed appropriately to reduce the associated high mortality. However, in the setting where efficient healthcare delivery is hampered by inadequacies, the management of such cases may pose a significant challenge. We present the case of a middle-aged woman diagnosed with myxoedema coma and severe hyponatremia. The case report highlights some of the challenges that may be encountered during the management of myxoedema coma in similar settings and outlines the management strategies undertaken to overcome them in the absence of national guidelines. It also brings to the fore the need for clinicians to look out for clinical features suggestive of hypothyroidism particularly among high risk individuals for early diagnosis and treatment.
FUNDING
None declared.
未标注
黏液性水肿昏迷是一种罕见的危及生命的疾病，必须进行适当管理以降低相关的高死亡率。然而，在医疗服务因不足而受阻的情况下，此类病例的管理可能构成重大挑战。我们报告一例诊断为黏液性水肿昏迷和严重低钠血症的中年女性病例。该病例报告强调了在类似情况下黏液性水肿昏迷管理过程中可能遇到的一些挑战，并概述了在缺乏国家指南的情况下为克服这些挑战而采取的管理策略。它还凸显了临床医生需要留意提示甲状腺功能减退的临床特征，尤其是在高危个体中以便早期诊断和治疗。
资金来源
未声明。
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