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粘液性水肿昏迷是甲状腺激素长期明显不足的严重表现,死亡率高达80%。锂盐治疗引起甲状腺机能减退(甲减)已被充分肯定,但引起粘液性水肿昏迷还未见报道,本文报道1例。 病例男,42岁,白种人,因日渐迟钝收入内科。入院前1年出现嗜眠加重,注意力难集中,体重增加,皮肤干燥,毛发脱落,面部浮肿。主诉怕冷,打鼾及共济失调,这次因跌倒伴明显的神志丧失而促使其住院。 患者因情感分裂服碳酸锂每日900mg和甲硫达嗪400mg每日2次,入院前1个月血锂水平在治疗
Myxedema Coma is a serious manifestation of thyroid hormones significantly under chronic conditions with a mortality rate of up to 80%. Lithium salt treatment caused hypothyroidism (hypothyroidism) has been fully affirmed, but caused by myxedema coma have not been reported, reported in 1 case. Male, 42 years old, Caucasian, receives medical attention due to increasing delay. 1 year before admission, increased somnolence, difficulty concentrating, weight gain, dry skin, hair loss, facial edema. Chief complaint of cold, snoring and ataxia, the fall caused by significant loss of consciousness and promote their hospitalization. Patients suffering from emotional split serving lithium carbonate daily 900mg and methyl thidiazine 400mg twice daily, 1 month before admission blood lithium levels in the treatment