CAJ | 학술논문

笔者成功诊治1例85岁男性高龄突发昏迷的功能正常甲状腺病综合征（ESS）患者。探讨ESS在高龄患者突发昏迷中的作用以及ESS的发病机制、甲状腺素对脑功能改善的意义。排除甲状腺功能异常及导致昏迷的其他相关因素，在进行基础治疗的同时，应用甲状腺素进行干预治疗。患者意识恢复正常，跟踪观察2年，没有发现服用甲状腺素导致的不良反应。我们认为，高龄患者因脑供血减少、脑功能容易受到各种基础病的影响，更易合并ESS，有选择地采取适度的甲状腺素干预治疗对疾病的转归有益。
필자성공진치1례85세남성고령돌발혼미적공능정상갑상선병종합정（ESS）환자。탐토ESS재고령환자돌발혼미중적작용이급ESS적발병궤제、갑상선소대뇌공능개선적의의。배제갑상선공능이상급도치혼미적기타상관인소，재진행기출치료적동시，응용갑상선소진행간예치료。환자의식회복정상，근종관찰2년，몰유발현복용갑상선소도치적불량반응。아문인위，고령환자인뇌공혈감소、뇌공능용역수도각충기출병적영향，경역합병ESS，유선택지채취괄도적갑상선소간예치료대질병적전귀유익。
We report a successful diagonsis and treatment of a 85-year old male patient with euthyroid sick syndrome (ESS). After thyroid dysfunction and other relevant factors leading to coma were excluded, basic treatment and thyroxine intervention therapy were adopted. The patient returned to normal state of consciousness. No adverse effects resulting from taking thyroxine was observed during the 2 years of follow-up. Because of reduced blood supply to the brain and more susceptible brain function due to various underlying diseases, elderly patients are prone to ESS. Appropriate thyroxine intervention therapy is beneficial to the outcomes of the disease.