摘要
临床内分泌领域中“亚临床疾病”是一个值得关注的问题。如何看待和处理这种“亚临床”状态目前尚有争论。从本质上说,“亚临床疾病”是一个实验室诊断的临床状态。但是,由于实验室检测结果的不确定性,以及对试验结果的不同解读,使这种诊断带有明显的不确定性,甚至有些随意性。实际上处于“亚临床疾病”的人群可能是一个异质性群体,其中一部分可能有轻度内分泌障碍,相当多的一部分是正常的个体,而真正需要治疗的可能仅是少数。因此,对其诊断和治疗重要的是应个体化对待。“亚临床疾病”的诊断和治疗方面需要解决的问题还很多,而在这些问题解决之前,对此类“疾病”应采取慎重和理性的态度。
The 'subclinical disease' in endocrine clinics is a problem worth to consider. How to diagnose and treat this situation are conflict. Naturally,the 'subclinical disease' is a laboratory diagnosis. Since the uncertainty of test results and misinterpretation of them,the diagnosis of 'subclinical disease' also has some uncertainty,rather casual(informal). The population of 'subclinical disease' may be heterogeneous,part of them are with mild endocrine dysfunction,part of them are normal,and among of them only a small part needs treatment. So that,the diagnosis and treatment of 'subclinical disease' should be individually. There are many problems of 'subclinical clinical' need to resolve,and we are faced with this 'disease'should be carefully and reasonably,until the problems are resolved.
出处
《基础医学与临床》
CSCD
北大核心
2005年第3期193-198,共6页
Basic and Clinical Medicine
