Pronovost P H, Parris K H
Section of General Internal Medicine, Temple University School of Medicine, Philadelphia, USA.
Postgrad Med. 1995 Aug;98(2):83-6, 96-8.
Patients with underlying thyroid disease who are in need of surgery present a particular challenge to the surgeon responsible for their care and to the medical consultant who must offer clinical guidance. Often, underlying thyroid disease is difficult to detect clinically, because signs and symptoms of disease are varied or subtle. Furthermore, those with known disease who are receiving a seemingly stable medical regimen may still be at risk for associated complications. Only heightened clinical awareness, early and appropriate treatment, and delay of elective surgery results in an improved patient outcome.
患有潜在甲状腺疾病且需要手术的患者，给负责其治疗的外科医生以及必须提供临床指导的医学顾问带来了特殊挑战。通常，潜在的甲状腺疾病在临床上难以检测，因为疾病的体征和症状多种多样或不明显。此外，那些已知患有疾病且正在接受看似稳定的药物治疗方案的患者，仍可能有相关并发症的风险。只有提高临床意识、进行早期和适当的治疗以及推迟择期手术，才能改善患者的预后。
