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甲状腺功能亢进症。

Hyperthyroidism.

机构信息

University of Colorado School of Medicine, Denver, Colorado (M.T.M.).

出版信息

Ann Intern Med. 2020 Apr 7;172(7):ITC49-ITC64. doi: 10.7326/AITC202004070.

Abstract

Thyrotoxicosis is a general term for excess circulating and tissue thyroid hormone levels, whereas hyperthyroidism specifically denotes disorders involving a hyperactive thyroid gland (Graves disease, toxic multinodular goiter, toxic adenoma). Diagnosis and determination of the cause rely on clinical evaluation, laboratory tests, and imaging studies. Hyperthyroidism is treated with antithyroid drugs, radioactive iodine ablation, or thyroidectomy. Other types of thyrotoxicosis are monitored and treated with β-blockers to control symptoms given that most of these conditions resolve spontaneously.

摘要

甲状腺功能亢进症是指循环和组织中甲状腺激素水平过高的统称,而甲状腺功能亢进症特指涉及甲状腺功能亢进的疾病(格雷夫斯病、毒性多结节性甲状腺肿、毒性腺瘤)。诊断和病因的确定依赖于临床评估、实验室检查和影像学研究。抗甲状腺药物、放射性碘消融或甲状腺切除术治疗甲状腺功能亢进症。其他类型的甲状腺毒症则通过使用β受体阻滞剂来控制症状进行监测和治疗,因为这些病症大多会自发缓解。

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