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甲状腺功能过高:诊断和治疗

Anne Mounsey1, Ryan Paulus1, Wesley Roten1

  • 1University of North Carolina, Chapel Hill.

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概括
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甲状腺激素过度产生的甲状腺功能过高影响了1.3%的美国成年人. 诊断依赖于低胆固醇水平,而格雷夫斯病是最常见的原因.

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科学领域:

  • 内分泌学
  • 内部医学

背景情况:

  • 甲状腺功能过高涉及甲状腺激素的过度产生,影响1.3%的美国成年人.
  • 甲状腺激素过多的状况,可以源于甲状腺功能过高,甲状腺炎或外源.
  • 常见的症状包括虚弱,心跳,体重减轻和热不耐受;症状包括喉,心动,肌肉虚弱和.

研究的目的:

  • 概述甲状腺功能过高的原因,诊断和治疗.
  • 为了区分甲状腺毒的各种原因.
  • 审查甲状腺功能过高的治疗方案.

主要方法:

  • 诊断标准包括低甲状腺刺激激素 (甲状腺激素) 水平.
  • 最常见的原因是甲状腺眼病或甲状腺蛋白受体抗体.
  • 放射性扫描区分其他原因如毒性多管和甲状腺炎.

主要成果:

  • 胺胺 (例如,甲基马) 在格雷夫斯病中诱导缓解,并控制其他形式.
  • 放射性在90%以上的格雷夫斯病和多节病例中有效治疗甲状腺功能过高.
  • 放射性治疗后的一年,甲状腺功能低下是常见的结果.

结论:

  • 根据病因和患者表现,甲状腺功能过高的治疗方法有所不同.
  • 胺,放射性和甲状腺切除术是主要的治疗方法.
  • 甲状腺切除术最好用于引起压缩症状的.