耳鼻咽喉科臨床
Online ISSN : 1884-4545
Print ISSN : 0032-6313
ISSN-L : 0032-6313
臨床
上気道閉塞による心肺停止にて発見された粘液水腫例
石田 芳也片山 昭公安達 正明原渕 保明
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2010 年 103 巻 12 号 p. 1121-1125

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A 35-year-old man who had gone into cardiopulmonary arrest upon emergency room arrival was mechanically intubated and ventilated in the ICU. Serum fT3 was 0.33 pg/mL, fT4 0.07 pg/mL, and TSH 195.0 IU/mL. He was diagnosed with myxoedema with severe laryngeal obstruction, given replacement levotyroxine (50 mg/day), and underwent tracheostomy. Following a gradual increase in levotyroxine, his general condition improved. The tracheostomy was closed on day 60. Four months after admission, he was discharged without complications, and he recovering ordinary activity and walking on his own.

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