BMJ Best Practice
最后审核时间: 十月 2018
最近更新时间: 一月 2018

小结

定义

病史和查体

关键诊断因素

  • 存在的危险因素
  • 甲状腺肿

其他诊断因素

  • 畏热、食欲亢进、或体重减轻
  • 抑郁症
  • 神经紧张或者心悸
  • 月经稀发

危险因素

  • 碘缺乏
  • 年龄>40 岁
  • 头颈部放射治疗
  • 甲状腺结节病家族史

诊断性检查

首要检查

  • 促甲状腺素 (TSH)
全部具体信息

需要考虑的检查

  • 游离 T4(或总 T4 加结合量的测定)
  • 总 T3 加结合量的测定(或游离 T3)
  • I-123 甲状腺扫描和摄取
  • Tc-99 高锝酸盐扫描
全部具体信息

治疗流程

贡献者

Associate Professor of Medicine

Boston University Medical Center

Boston

MA

利益冲突披露
ENP has received honoraria and travel funding for speaking at two international conferences for Merck Serono and at one for IBSA. She is a member of the Management Council of the Iodine Global Network. She is an author of a number of references cited in this monograph.

Dr Elizabeth N. Pearce would like to gratefully acknowledge Dr Sheila Feit, a previous contributor to this monograph. SF is an employee of the BMJ Group.

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Consultant Endocrinologist

Freeman Hospital

Newcastle-Upon-Tyne

UK

利益冲突披露
PP declares that he has no competing interests.

Professor of Surgery

Virginia Commonwealth University

Richmond

VA

利益冲突披露
RM declares that he has no competing interests.

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