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黏液性水肿昏迷的多种表现:来自印度一家三级医院的病例系列

Legions of Presentations of Myxedema Coma: A Case Series from a Tertiary Hospital in India.

作者信息

Roy Nirmalya, Majumder Anirban, Sanyal Debmalya, Chaudhuri Soumyabrata Roy, Sarkar Suman, Pathak Ankan

机构信息

Department of Internal Medicine, KPC Medical College and Hospital, West Bengal University of Health Sciences, Kolkata, India.

Department of Endocrinology, KPC Medical College and Hospital, West Bengal University of Health Sciences, Kolkata, India.

出版信息

J ASEAN Fed Endocr Soc. 2020;35(2):233-237. doi: 10.15605/jafes.035.02.12. Epub 2020 Nov 29.

DOI:10.15605/jafes.035.02.12
PMID:33442196
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7784239/
Abstract

Myxedema coma is associated with decreased mental status and hyponatremia among patients with diagnosed or undiagnosed hypothyroidism. The diagnosis is challenging in the absence of universally accepted diagnostic criteria, but should be considered as a differential even in cases with competing established diagnoses. All patients should receive intensive care level treatment. Even with optimal treatment, mortality is very high.

摘要

黏液性水肿昏迷与已确诊或未确诊甲状腺功能减退症患者的精神状态减退和低钠血症相关。在缺乏普遍接受的诊断标准的情况下,诊断具有挑战性,但即使在存在其他已确诊疾病的病例中,也应将其作为鉴别诊断考虑。所有患者均应接受重症监护级别的治疗。即使进行最佳治疗,死亡率仍非常高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83a2/7784239/7fe4be1fe7c2/JAFES-35-2-233-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83a2/7784239/7fe4be1fe7c2/JAFES-35-2-233-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83a2/7784239/7fe4be1fe7c2/JAFES-35-2-233-g001.jpg

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Legions of Presentations of Myxedema Coma: A Case Series from a Tertiary Hospital in India.黏液性水肿昏迷的多种表现:来自印度一家三级医院的病例系列
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本文引用的文献

1
Myxedema Coma, Pancytopenia, and Hypocoagulopathy: A Rare Presentation of Sheehan's Syndrome.黏液性水肿昏迷、全血细胞减少和低凝血病:席汉综合征的一种罕见表现。
Indian J Endocrinol Metab. 2019 Mar-Apr;23(2):268-269. doi: 10.4103/ijem.IJEM_120_19.
2
Clinical characteristics and outcomes of myxedema coma: Analysis of a national inpatient database in Japan.黏液性水肿昏迷的临床特征与结局:日本全国住院患者数据库分析
J Epidemiol. 2017 Mar;27(3):117-122. doi: 10.1016/j.je.2016.04.002. Epub 2017 Jan 5.
3
The Controversies of Hyponatraemia in Hypothyroidism: Weighing the evidence.
甲状腺功能减退症中低钠血症的争议:权衡证据
Sultan Qaboos Univ Med J. 2015 May;15(2):e207-12. Epub 2015 May 28.
4
Myxoedema coma in adults: Experience from a tertiary referral hospital intensive care unit.成人黏液性水肿昏迷:来自一家三级转诊医院重症监护病房的经验。
Indian J Anaesth. 2015 May;59(5):315-7. doi: 10.4103/0019-5049.156889.
5
A diagnostic scoring system for myxedema coma.黏液水肿性昏迷的诊断评分系统。
Endocr Pract. 2014 Aug;20(8):808-17. doi: 10.4158/EP13460.OR.
6
Perioperative management of a patient with myxedema coma and septicemic shock.黏液水肿昏迷合并败血症性休克患者的围手术期管理
Indian J Crit Care Med. 2012 Oct;16(4):228-30. doi: 10.4103/0972-5229.106510.
7
Myxedema coma: a new look into an old crisis.黏液性水肿昏迷:对旧有危机的新审视。
J Thyroid Res. 2011;2011:493462. doi: 10.4061/2011/493462. Epub 2011 Sep 15.
8
Hypothyroidism causing paralytic ileus and acute kidney injury - case report.甲状腺功能减退症导致麻痹性肠梗阻和急性肾损伤——病例报告
Thyroid Res. 2011 Feb 8;4(1):7. doi: 10.1186/1756-6614-4-7.
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Predictors of outcome in myxoedema coma: a study from a tertiary care centre.黏液性水肿昏迷的预后预测因素:一项来自三级医疗中心的研究。
Crit Care. 2008;12(1):R1. doi: 10.1186/cc6211. Epub 2008 Jan 3.
10
Severe primary hypothyroidism manifesting with torsades de pointes.表现为尖端扭转型室速的严重原发性甲状腺功能减退症。
Am J Med Sci. 2006 Mar;331(3):154-6. doi: 10.1097/00000441-200603000-00008.