甲亢手术指征
手术指征
继发性甲亢和高功能性腺瘤;
中度以上的原发性甲亢;
腺体较大的甲亢,伴有压迫病症和胸骨后甲状腺肿;
抗甲状腺药物或 I131治疗后复发者;
妊娠早、中期的甲亢病人具有上述指征者;
2021/1/甲亢手术指征
手术指征
继发性甲亢和高功能性腺瘤;
中度以上的原发性甲亢;
腺体较大的甲亢,伴有压迫病症和胸骨后甲状腺肿;
抗甲状腺药物或 I131治疗后复发者;
妊娠早、中期的甲亢病人具有上述指征者;
2021/1/12
2
手术指征
A 55-year-old man begins to be emotionally labile〔不稳定〕, tense〔紧张〕, hyperexcitable. He has recently had difficulty with his job. He has lost 20 lbs in weight. He is distractable〔精力不集中〕, has a short attention span, and has impaired〔损害〕 recent memory. Your initial workup reveals a fine tremor of the hands, and laboratory work suggests an endocrine abnormality. What is the most likely diagnosis?
a. Hypoparathyroidism
b. Hyperthyroidism
c. Hyperparathyroidism
d. Hypothyroidism
e. Addison’s disease
2021/1/12
3
手术指征
女,40岁,28岁时因心慌、怕热、多汗、消瘦就诊,确诊Graves病,他巴唑规那么治疗2年。32岁甲亢复发。再次他巴唑治疗,2个月后甲状腺功能正常,继续治疗一年半停药。最近2个月甲亢的病症、体征再现,查血T3,T4及TSH确认为甲亢第2次复发。患者结婚10年,尚未生育,希望治疗甲亢后怀孕,甲亢的治疗拟〔〕
A.大剂量碘剂
B.再次他巴唑治疗,疗程延
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