甲状腺功能过高
Simone De Leo1, Sun Y Lee1, Lewis E Braverman1
1Endocrine Unit, Fondazione IRCCS Cà Granda, Milan, Italy (S De Leo MD); Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy (S De Leo); and Section of Endocrinology, Diabetes and Nutrition, Boston University School of Medicine, Boston, MA, USA (S De Leo, S Y Lee MD, Prof L E Braverman MD).
Lancet (London, England)
|April 4, 2016
概括
甲状腺功能过高涉及甲状腺激素的过度产生,而甲状腺毒性是导致的临床状态. 格雷夫斯病和有毒结节是常见的病因,每种病例的治疗方法各不相同.
科学领域:
- 内分泌学
- 内部医学
- 甲状腺学
背景情况:
- 甲状腺功能过高是由甲状腺激素的过度合成和分泌决定的.
- 甲状腺毒性症描述了来自任何来源的甲状腺荷尔蒙循环升高的临床综合征.
- 甲状腺功能障碍的主要病因是Graves病和有毒结节.
研究的目的:
- 为了区分甲状腺功能高和甲状腺毒性.
- 概述甲状腺毒性病的常见原因和治疗策略.
- 解决高甲状腺症管理中的特殊考虑.
主要方法:
- 对甲状腺功能过高和甲状腺毒性病的现有文献的审查.
- 分析常见的病因因素.
- 对不同甲状腺疾病的治疗方法进行比较.
主要成果:
- 甲状腺功能障碍的主要原因是瘤性甲状腺炎和毒性结节性甲状腺炎.
- 格雷夫病的治疗包括抗甲状腺药物,放射性或手术.
- 由于复发率,抗甲状腺药物在有毒结节的长期使用是有限的.
结论:
- 甲状腺毒性病的治疗因病因而有所不同,格雷夫斯病和有毒结节的治疗方法不同.
- 甲状腺毒性病的症状缓解中,β- 阻断剂至关重要.
- 特殊群体如孕妇或产后妇女需要量身定制的甲状腺功能障碍治疗.
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