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亚临床甲状腺功能亢进症 被引量:11

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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。
出处 《国外医学(内分泌学分册)》 2005年第1期35-37,共3页 Foreign Medical Sciences(Section of Endocrinology)
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