PDF(Pubmed)
Abstract：
A 59-year-old woman presented to the emergency department with shortness of breath. She had significant oropharyngeal swelling obstructing her upper respiratory tract. A diagnosis of laryngeal myxoedema was made, which was attributed to severe hypothyroidism. She required invasive ventilation and subsequently a tracheostomy. She was treated with levothyroxine and hydrocortisone. She completely recovered with this therapy. In this review, we will discuss similar cases and different therapeutic options. This case also highlights the fact that establishing a diagnosis of laryngeal myxoedema, a condition that can potentially have lethal outcomes and can be challenging.
摘要：
一名59岁的妇女因呼吸急促而出现在急诊科。她有明显的口咽肿胀，阻塞了上呼吸道。诊断为喉部粘液性水肿，这归因于严重的甲状腺功能减退症。她需要有创通气，随后需要气管造口术。她接受了左甲状腺素和氢化可的松治疗。她用这种疗法完全康复了。在这次审查中,我们将讨论类似的病例和不同的治疗选择。这个案例也突出了一个事实，即建立喉部粘液性水肿的诊断，一种可能有致命后果且具有挑战性的疾病。
