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甲状腺疾病的管理

Management of thyroid disorders.

作者信息

Premawardhana L D K E, Lazarus J H

机构信息

Department of Medicine, Caerphilly Miners' Hospital, Caerphilly, UK.

出版信息

Postgrad Med J. 2006 Sep;82(971):552-8. doi: 10.1136/pgmj.2006.047290.

DOI:10.1136/pgmj.2006.047290
PMID:16954449
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2585732/
Abstract

Autoimmune thyroid disease is the predominant form of thyroid dysfunction in the developed world. Although its precise cause is currently unclear, principles of management have been established. There is a vigorous debate about the management of the increasingly commonly recognised subclinical forms of thyroid dysfunction despite recent recommendations. Nodular thyroid disease and thyroid carcinoma have received wide attention. The effects of drugs and pregnancy on thyroid function have also been investigated widely. This short review attempts to give an overview and clarify the current management of common thyroid disorders.

摘要

自身免疫性甲状腺疾病是发达国家甲状腺功能障碍的主要形式。尽管其确切病因目前尚不清楚,但已经确立了管理原则。尽管有近期的建议,但对于日益常见的亚临床甲状腺功能障碍形式的管理仍存在激烈争论。结节性甲状腺疾病和甲状腺癌受到了广泛关注。药物和妊娠对甲状腺功能的影响也得到了广泛研究。这篇简短的综述试图给出一个概述,并阐明常见甲状腺疾病的当前管理方法。

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本文引用的文献

1
Graves' hyperthyroidism: how long should antithyroid drug therapy be continued to achieve remission?格雷夫斯病甲亢:抗甲状腺药物治疗应持续多长时间才能实现缓解?
Nat Clin Pract Endocrinol Metab. 2006 Jan;2(1):2-3. doi: 10.1038/ncpendmet0068.
2
A systematic review of drug therapy for Graves' hyperthyroidism.格雷夫斯病甲亢药物治疗的系统评价
Eur J Endocrinol. 2005 Oct;153(4):489-98. doi: 10.1530/eje.1.01993.
3
A cross-sectional and a prospective study of thyroid disorders in lithium-treated patients.锂治疗患者甲状腺疾病的横断面研究和前瞻性研究。
J Affect Disord. 2005 Aug;87(2-3):313-7. doi: 10.1016/j.jad.2005.03.010.
4
Continuing controversies in the management of thyroid nodules.甲状腺结节管理方面持续存在的争议。
Ann Intern Med. 2005 Jun 7;142(11):926-31. doi: 10.7326/0003-4819-142-11-200506070-00011.
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Screening for thyroid disease in pregnancy.孕期甲状腺疾病筛查
J Clin Pathol. 2005 May;58(5):449-52. doi: 10.1136/jcp.2004.021881.
6
Subclinical hyperthyroidism: clinical features and treatment options.亚临床甲状腺功能亢进症:临床特征与治疗选择
Eur J Endocrinol. 2005 Jan;152(1):1-9. doi: 10.1530/eje.1.01809.
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Antithyroid drugs.抗甲状腺药物
N Engl J Med. 2005 Mar 3;352(9):905-17. doi: 10.1056/NEJMra042972.
8
Genetic insights into disease mechanisms of autoimmunity.自身免疫性疾病机制的遗传学见解。
Br Med Bull. 2005 Feb 8;71:93-113. doi: 10.1093/bmb/ldh032. Print 2004.
9
Thyroid disorders associated with pregnancy: etiology, diagnosis, and management.与妊娠相关的甲状腺疾病:病因、诊断与管理
Treat Endocrinol. 2005;4(1):31-41. doi: 10.2165/00024677-200504010-00004.
10
Subclinical thyroid dysfunction: a joint statement on management from the American Association of Clinical Endocrinologists, the American Thyroid Association, and the Endocrine Society.亚临床甲状腺功能障碍:美国临床内分泌医师协会、美国甲状腺协会和内分泌学会关于管理的联合声明。
J Clin Endocrinol Metab. 2005 Jan;90(1):581-5; discussion 586-7. doi: 10.1210/jc.2004-1231.