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来源:杭州同济甲状腺医院 发布时间:2012-10-07 11:56 点击量:

    Comprehensive understanding of hyperthyroidismHyperthyroidism hyperthyroidism abbreviation, refers to a variety of etiologies that lead to excessive secretion of thyroid 杭州哪个医院治疗甲减 hormones in the body, the body in the role of the tissue and the clinical syndrome caused by. Thus, hyperthyroidism is not a specific disease, but a clinical syndrome. Why hyperthyroidism at present, the exact pathogenesis is still unclear, but clinical findings, the majority of patients with hyperthyroidism has some , infection and trauma. According to statistics, 62% hyperthyroidism patients before the onset of mental stimulation factors, such as with a conflict or dispute,杭州哪个医院治疗甲状腺比较好 or work too hard. Long time or a strong spiritual stimulation easily causing hyperthyroidism, such as war and natural disasters, thyrotoxicosis incidence increased significantly. In addition, many hyperthyroid patients before the onset of acute infection history or history of trauma; there have even been found, iodine can also be induced hyperthyroidism. The complex clinical presentation of " high metabolic syndrome ( refers to the specific heat sweating, fatigue, skin is warm and moist, hyperthyroidism appetite and weight loss show ), goiter, hyperthyroidism exophthalmos syndrome " is the typical symptoms, in addition, mental, nervous, cardiovascular, gastrointestinal, muscular, skeletal, blood, reproductive, endocrine the system also has a corresponding performance. In the clinical setting, when the course is long and unexplained weight loss, fever, diarrhea, hands shaking, heartbeat tachycardia, atrial fibrillation, hypotonia, menstrual disorders, amenorrhea, are considered hyperthyroidism may; for without satisfactory curative effect of diabetes, tuberculosis, heart failure, coronary heart disease, liver disease, and to exclude complicated with hyperthyroidism may. Hyperthyroidism and incidence rate of 1∶ 4~ 6, and its clinical manifestations are also associated with sex杭州哪个医院治疗甲状腺钙化比较好 . Female patients with thyroid enlargement is obvious, palpitations, emotional instability, see; male patients with goiter than females for light, appetite is prone to hunger, weight loss, fatigue performance of typical. Geriatric and pediatric patients with clinical manifestations of atypical. In 11~ 16 years old children with the highest incidence, more girls than boys, almost all patients have diffuse thyroid enlargement and typical high metabolic syndrome is more common, exophthalmos. Targeted screening means of typical hyperthyroidism with clinical symptoms and signs can be a definitive diagnosis, but for atypical or complicated conditions, required by following some laboratory diagnosis: 1 metabolic status: basal metabolic rate ( BMR ), blood cholesterol, glycerin three ester and urine creatine determination of serum thyroid hormone level; 2: total serum T3 ( TT3 ), T4 ( TT4 ), free T3 ( FT3 ), free T4 ( FT4 ), the T3 (γ T3 ) determination; 3 of pituitary thyroid axis function in the regulation of: including thyroid iodine uptake and thyroid suppression test, serum high sensitive thyrotropin assay ( S TSH ); 4 immunological examinations: TSH receptor antibodies in the determination, such as thyroid stimulating immunoglobulin ( TRAb ), thyroglobulin antibody ( TGAb ); thyroid microsomal antibody ( TMAb ) or anti-thyroid peroxidase antibodies ( TPOAb ) determination; 5 imaging: B ultrasound, CT, MRI ( nuclear magnetic resonance ), thyroid radionuclide imaging; 6: thyroid biopsy and pathological examination. What is hyperthyroidism hyperthyroidism crisis when not controlled, due to stress that the disease condition suddenly increased, the onset of a life-threatening condition, known as hyperthyroidism crisis. This condition is rarely seen clinically, can occur in people of all ages, mostly to elderly, mortality is 20% ~50%. When the diagnosis of hyperthyroidism untreated or hyperthyroidism treatment is not timely, infections, fatigue, stress, inadequate preoperative preparation,杭州哪个医院治疗甲减比较好些 radioactive iodine therapy and drug reactions, can be induced hyperthyroidism crisis factor. Hyperthyroidism crisis occurs, patients appeared severe systemic weakness, short time of significant weight loss, restlessness, nausea, vomiting, loss of appetite, have a fever ( temperature is generally greater than 39℃, even up to 40 DEG C or higher ), heart rate in 120~ 160 times / min, sweating, abdominal pain, diarrhea, and even the emergence of acute mental confusion, coma. Very few patients as apathetic hyperthyroidism crisis, common in the elderly, 杭州哪个医院治疗甲亢好often manifested as apathy, sleepiness, low body temperature, heart rate, pulse pressure is obviously weak, slow and small, finally fell into a coma and death, the exophthalmos and goiter manifestations of very light.

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张建华 教授

擅长治疗:应用中西医结合诊治疑难杂症,对内分泌甲亢、甲减、甲状腺腺瘤、囊肿、甲状腺肿大……[详细]

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杨国平 专家

杨国平,医学硕士,1991年毕业于第二军医大学,后于北京...【详细介绍】

张建华 [主任]

毕业于军区军医学校,擅长应用中西医结合诊治疑难杂症...【详细介绍】

问:专家介绍你不得不知的?

答: 甲亢 是甲状腺功能亢进的简称,是由多种原因引起的甲状腺激素...[详细]

问:什么是甲亢??

答: 什么是甲亢?杭州同济甲状腺医院张建华教授指出:甲亢病若长期不愈...[详细]

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