Mazzaferri E L
Postgrad Med. 1986 May 15;79(7):75-86. doi: 10.1080/00325481.1986.11699410.
Hypothyroidism may be self-limiting or may progress to thyroid failure, depending on the cause. Thus, diagnosis of the underlying disorder is extremely important. Once the diagnosis is established, the origin and cause of hypothyroidism must be identified. A careful history and physical examination, routine laboratory tests, and demonstration of antithyroid antibodies will ordinarily lead to the correct diagnosis. Self-limited disorders require little or no therapy. Progressive disease is treated with a thyroid hormone preparation. Myxedema coma is an endocrine emergency that requires prompt treatment of both the metabolic complications and any intercurrent illness.
甲状腺功能减退症可能是自限性的，也可能进展为甲状腺功能衰竭，这取决于病因。因此，诊断潜在疾病极为重要。一旦确诊，必须确定甲状腺功能减退症的起源和病因。详细的病史和体格检查、常规实验室检查以及抗甲状腺抗体的检测通常会得出正确的诊断。自限性疾病几乎不需要或无需治疗。进展性疾病则用甲状腺激素制剂进行治疗。黏液性水肿昏迷是一种内分泌急症，需要对代谢并发症和任何并发疾病进行及时治疗。
