粘液性水肿昏迷

• 作 者: 白耀 许曼音
• 机 构: 中国医学科学院首都医院,上海第二医学院瑞金医院,
• 出 处: 国外医学(内科学分册)
• 发表日期: 1982年01期
• 关键词: 粘液性水肿 甲低 糖尿病昏迷 内科急症 低体温 危险性 人工呼吸器 二氧化碳麻醉 轮替动作不能 病理生理

粘液性水肿昏迷是甲状腺功能低下症(甲低)未能及时诊治而发展至疾病的晚期阶段。本病多见于女性老年患者,有严重甲低的体征,体温低,昏迷,可发生休克。粘液性水肿昏迷是内科急症,死亡率较高,其危险性不亚于糖尿病昏迷。本病是粘液性水肿罕见的合并症。1879年英国报道首例,但一直未被重视,至1953年Summers 才报道了第2例。随着认识水平的不断提高,到1964年已陆续报道了131例。

Mucous edema Coma is hypothyroidism (hypothyroidism) failed to timely diagnosis and treatment and the development of advanced stages of the disease. The disease is more common in elderly women, there is a sign of severe hypothyroidism, hypothermia, coma, can occur in shock. Mucous edema coma is a medical emergency, a higher mortality rate, the risk no less than diabetic coma. The disease is a rare complication of myxedema. The first case was reported in England in 1879, but it has not been taken seriously until the second case was reported by Summers in 1953. With the continuous improvement of the level of understanding, by 1964, 131 cases were reported.