亚临床甲状腺功能亢进症

被引:11
作者
施亚雄
施秉银
许曼音
机构
[1] 福建医科大学附属二院内分泌科
[2] 西安交通大学第一医院内分泌科
[3] 上海第二医科大学瑞金医院内分泌科
关键词
亚临床甲状腺功能亢进症; 心脏; 骨质疏松;
D O I
暂无
中图分类号
R581 [甲状腺疾病];
学科分类号
摘要
亚临床甲状腺功能亢进症 (SH)是一种特殊类型的甲状腺功能亢进症 ,是指血游离三碘甲腺原氨酸 (FT3 )、游离甲状腺素 (FT4)正常 ,促甲状腺素 (TSH)低于正常。依病因可分为内源性和外源性两类。结节性甲状腺肿、潜在的Graves病、甲状腺炎及摄入过量的L T4是SH的常见病因。SH临床症状多不明显 ,但可较早出现心脏和自主神经调节功能受损 ;心房纤颤发生率高 ;绝经后女性SH骨质疏松危险性增加。诊断SH应排除引起暂时性TSH降低的其他原因。SH是否治疗要权衡利弊。TSH显著降低者可相应治疗 ,TSH轻度降低者应定期随访。
引用
收藏
页码:35 / 37
页数:3
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