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甲状腺功能测试策略。

A strategy for thyroid function tests.

作者信息

Britton K E, Quinn V, Brown B L, Ekins R P

出版信息

Br Med J. 1975 Aug 9;3(5979):350-2. doi: 10.1136/bmj.3.5979.350.

Abstract

The concept of decision-aiding ranges were introduced to improve diagnostic efficiency. The clinical uncertainty in distinguishing borderline cases of hyperthyroidism and hypothyroidism among 1559 consecutive requests for thyroid function tests was 47%. This was reduced to 22% by using the free thyroxine index and to under 2% by using specific tests determined by the decision-aiding ranges.

摘要

引入决策辅助范围的概念以提高诊断效率。在连续1559例甲状腺功能测试请求中,区分甲状腺功能亢进和甲状腺功能减退临界病例的临床不确定性为47%。使用游离甲状腺素指数可将其降至22%,而使用由决策辅助范围确定的特定测试可将其降至2%以下。

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本文引用的文献

3
A new in-vitro blood test for determining thyroid status: the effective thyroxine ratio.
Clin Biochem. 1971 Dec;4(4):216-21. doi: 10.1016/s0009-9120(71)91645-6.
7
Triiodothyronine.
Clin Endocrinol (Oxf). 1973 Jan;2(1):75-87. doi: 10.1111/j.1365-2265.1973.tb03487.x.
8
A new pertechnetate thyroid uptake technique.一种新的高锝酸盐甲状腺摄取技术。
Clin Radiol. 1974 Apr;25(2):217-20. doi: 10.1016/s0009-9260(74)80056-5.
9
Serum triiodothyronine in health and disease.
Clin Endocrinol (Oxf). 1973 Oct;2(4):339-49. doi: 10.1111/j.1365-2265.1973.tb01720.x.

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