Guerin J M, Tibourtine O, Segrestaa J M
Sem Hop. 1984 Jan 19;60(2):85-9.
The authors, in reporting 7 personal cases, confront their findings with previously published data. The study of cases presented as myxedema comas consistently demonstrates a precipitating cause, which in itself can produce a low T3 and T4 syndrome. The occurrence of such a cause in a patient with hypothyroidism can lead to acute decompensation, but should such conditions be considered as myxedema comas since treatment is above all aimed against the acute aggression?
作者在报告7例个人病例时,将他们的研究结果与先前发表的数据进行了对比。对黏液性水肿昏迷病例的研究始终表明存在一个促发因素,该因素本身可导致低T3和T4综合征。甲状腺功能减退患者出现这样一个因素可导致急性失代偿,但鉴于治疗首先针对急性发作,这些情况应被视为黏液性水肿昏迷吗?