高龄功能正常甲状腺病综合征1例

Euthyroid sick syndrome in the elderly： one case report

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。

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.