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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.

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

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