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甲状腺功能减退症和黏液性水肿昏迷

Hypothyroidism and myxedema coma.

作者信息

Finora Kevin, Greco Deborah

机构信息

The Animal Medical Center, New York, New York, USA.

出版信息

Compend Contin Educ Vet. 2007 Jan;29(1):19-31; quiz 31-2.

Abstract

Hypothyroidism is a common endocrinopathy in dogs but is rare in cats. Lymphocytic thyroiditis and idiopathic thyroid atrophy are common causes of this condition. Specific thyroid function tests, in conjunction with clinical signs and physical examination findings, are used to help confirm a diagnosis of hypothyroidism. This disease can be managed with synthetic hormone supplementation and has an excellent prognosis. Myxedema coma is a rare and potentially fatal manifestation of severe hypothyroidism that can be successfully treated using intravenous levothyroxine.

摘要

甲状腺功能减退是犬类常见的内分泌疾病,但在猫中很少见。淋巴细胞性甲状腺炎和特发性甲状腺萎缩是这种疾病的常见病因。特定的甲状腺功能测试,结合临床症状和体格检查结果,用于帮助确诊甲状腺功能减退。这种疾病可以通过补充合成激素来控制,预后良好。黏液性水肿昏迷是严重甲状腺功能减退的一种罕见且可能致命的表现,可通过静脉注射左甲状腺素成功治疗。

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