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老年人甲状腺疾病:全面概述。

Thyroid Disorders in the Elderly: An Overall Summary.

机构信息

Department of Otolaryngology-Head and Neck Surgery, Sunnybrook Health Sciences Centre, 2075 Bayview Avenue, Toronto, Ontario M4N 3M5, Canada.

出版信息

Clin Geriatr Med. 2018 May;34(2):259-277. doi: 10.1016/j.cger.2018.01.011.

Abstract

Medical care for elderly patients is often distinctly different from that of younger counterparts. This is no truer than in a thyroid disorder context, where patients are often asymptomatic and polypharmacy is a potential consideration. Understanding how treatment of these patients can deviate from common practices is an essential asset to any health care provider. The purpose of this article is to shed light on those deviations and address inherent complexities in caring for elderly patients in an effort to improve quality of care. Topics considered range from general anatomic challenges to underlying biochemistry to adjuvant therapy options and surveillance.

摘要

老年患者的医疗护理通常与年轻患者明显不同。在甲状腺疾病的情况下更是如此,老年患者通常无症状,而且可能同时服用多种药物。了解这些患者的治疗方法如何与常见做法有所不同,是任何医疗保健提供者的重要资产。本文旨在阐明这些差异,并解决老年患者护理中固有的复杂性,以提高护理质量。讨论的主题包括一般解剖学挑战、潜在的生物化学、辅助治疗选择和监测。

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