Gibelli G, Gibelli B, Nani F
Division of Cardiology, "S. Carlo" Clinic Paderno Dugnano, Mlan, Italy.
Acta Otorhinolaryngol Ital. 2008 Dec;28(6):281-6.
Telemedicine is extremely useful when distance could hinder diagnostic procedures, disease management, or when severe side-effects may occur in patients not within easy reach of medical care and requiring prompt action and specific therapies. Telemedicine has been successfully adopted in the management of chronic patients, particularly in those with cardiologic or oncologic diseases. In the treatment of differentiated thyroid cancer, requiring long-term check-ups and visits as well as administration of high doses of levothyroxine (TSH - thyroid-stimulating hormone - suppression), also in elderly patients, telemedicine seems particularly indicated. Moreover, these distant monitoring techniques could not only reduce long-term management costs but also considerably decrease cardiovascular risks associated with these patients. The present review aims to provide some general information on telemedicine and its possible fields of action with regard to distant monitoring of patients with differentiated thyroid carcinoma.
当距离可能妨碍诊断程序、疾病管理时，或者当医疗服务难以触及的患者可能出现严重副作用且需要迅速采取行动和进行特定治疗时，远程医疗极为有用。远程医疗已成功应用于慢性病患者的管理，尤其是患有心脏病或肿瘤疾病的患者。在分化型甲状腺癌的治疗中，需要长期检查、就诊以及给予高剂量左甲状腺素（促甲状腺激素抑制），即使是老年患者，远程医疗似乎也特别适用。此外，这些远程监测技术不仅可以降低长期管理成本，还能显著降低与这些患者相关的心血管风险。本综述旨在提供一些关于远程医疗及其在分化型甲状腺癌患者远程监测方面可能的应用领域的一般信息。
