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老年患者的甲状腺功能减退症

Hypothyroidism in elderly patients.

作者信息

Bailes B K

机构信息

University of Texas-Houston Health Science Center School of Nursing, USA.

出版信息

AORN J. 1999 May;69(5):1026-30. doi: 10.1016/s0001-2092(06)62302-8.

Abstract

Hypothyroidism is an endocrine condition found in elderly patients that is often confused with normal changes associated with aging. Consequently, the disorder may be quite advanced before it is diagnosed and treated. Depressed T4 and elevated TSH levels confirm primary hypothyroidism. Patients are required to take levothyroxine for the rest of their lives. Myxedema coma, a life-threatening complication of hypothyroidism, occurs primarily in elderly women and requires immediate treatment to prevent death. Recovery and stabilization may take six to eight months.

摘要

甲状腺功能减退是老年患者中常见的一种内分泌疾病,常与衰老相关的正常变化相混淆。因此,该疾病在被诊断和治疗之前可能已经相当严重。T4降低和TSH水平升高可确诊原发性甲状腺功能减退。患者需要终生服用左甲状腺素。黏液性水肿昏迷是甲状腺功能减退的一种危及生命的并发症,主要发生在老年女性中,需要立即治疗以防止死亡。恢复和稳定可能需要六到八个月。

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