Isley William L
Postgrad Med. 1993 Sep;94(3):111-128. doi: 10.1080/00325481.1993.11945709.
Preview Manifestations of thyroid dysfunction may be totally misleading in severely ill and elderly patients, often confounding clinical diagnosis. To prevent undue morbidity and mortality in these patients, appropriate selection and accurate interpretation of thyroid function tests are crucial. In this article, Dr Isley compares the classic signs and symptoms of thyroid disorders with those that may appear in elderly patients and in patients severely ill with other diseases, and he presents algorithms for diagnosing thyrotoxicosis and hypothyroidism.
甲状腺功能障碍的先兆表现可能会严重误导重症患者和老年患者，常常使临床诊断混淆不清。为防止这些患者出现不必要的发病和死亡情况，甲状腺功能检查的恰当选择和准确解读至关重要。在本文中，伊斯利博士将甲状腺疾病的典型体征和症状与老年患者以及患有其他重症疾病患者身上可能出现的体征和症状进行了比较，并给出了诊断甲状腺毒症和甲状腺功能减退症的方法。
