老年住院患者甲状腺功能减退症的筛查
Screening for hypothyroidism in elderly inpatients.
作者信息
Bahemuka M, Hodkinson H M
出版信息
Br Med J. 1975 Jun 14;2(5971):601-3. doi: 10.1136/bmj.2.5971.601.
Abstract
Routine biochemical screening for hypothyroidism in 2000 geriatric inpatients proved valuable and practicable and yielded 46 cases (2.3%). A non-specific clinical picture was particularly common, with less than a third of the cases showing "typical" signs and symptoms. Psychiatric manifestations, especially depression, were important and frequent and responded well to thyroxine. There was a preponderance of female cases of hypothyroidism and a strong association with other autoimmune diseases, notably pernicious anaemia and rheumatoid arthritis.
摘要
对2000名老年住院患者进行甲状腺功能减退症的常规生化筛查，结果证明该筛查既实用又有价值，共查出46例（2.3%）。非特异性临床表现尤为常见，不到三分之一的病例有“典型”体征和症状。精神症状，尤其是抑郁症，既常见又重要，对甲状腺素治疗反应良好。甲状腺功能减退症女性患者居多，且与其他自身免疫性疾病密切相关，尤其是恶性贫血和类风湿关节炎。
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