甲状腺功能亢进症基层诊疗指南(实践版·2019)

2019-12-30 中华医学会 中华全科医师杂志.2019,18(12):1129-1135.

甲状腺功能亢进症(hyperthyroidism)简称甲亢,以毒性弥漫性甲状腺肿(Graves病)最为常见,约占甲亢所有类型的80%,为本指南主要讨论内容。甲亢病因复杂,临床表现各异。Graves病的典型征象是甲状腺弥漫性肿大、浸润性突眼、胫前黏液性水肿。甲状腺功能测定是诊断甲亢的一线指标,甲状腺自身抗体、甲状腺131I摄取率和核素扫描、超声检查等是鉴别甲亢病因的重要指标。常用治疗方案包括药物治疗

中文标题:

甲状腺功能亢进症基层诊疗指南(实践版·2019)

发布机构:

中华医学会

发布日期:

2019-12-30

简要介绍:

甲状腺功能亢进症(hyperthyroidism)简称甲亢,以毒性弥漫性甲状腺肿(Graves病)最为常见,约占甲亢所有类型的80%,为本指南主要讨论内容。甲亢病因复杂,临床表现各异。Graves病的典型征象是甲状腺弥漫性肿大、浸润性突眼、胫前黏液性水肿。甲状腺功能测定是诊断甲亢的一线指标,甲状腺自身抗体、甲状腺131I摄取率和核素扫描、超声检查等是鉴别甲亢病因的重要指标。常用治疗方案包括药物治疗、放射性碘治疗和手术治疗,选择何种治疗方法,要根据患者的病情、治疗意愿等决定,以达到提高甲亢缓解率并减少复发率的目标。

 

拓展指南:甲状腺相关指南:

下载附件:

(因为版权问题,不支持下载)

评论区 (39)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=2183487, encodeId=098f218348e3d, content=很好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=15, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=fa645400423, createdName=ms4000000981297947, createdTime=Tue Jan 23 18:54:47 CST 2024, time=2024-01-23, status=1, ipAttribution=广东省), GetPortalCommentsPageByObjectIdResponse(id=2112775, encodeId=81022112e75e4, content=棒!, beContent=null, objectType=guider, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3b832488487, createdName=12472f98m72暂无昵称, createdTime=Thu Feb 02 18:11:34 CST 2023, time=2023-02-02, status=1, ipAttribution=北京), GetPortalCommentsPageByObjectIdResponse(id=1215426, encodeId=7059121542637, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=966b5133829, createdName=146600e0m46暂无昵称, createdTime=Thu Apr 28 20:00:06 CST 2022, time=2022-04-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1194289, encodeId=1d4411942899b, content=棒, beContent=null, objectType=guider, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f4d92110516, createdName=buku, createdTime=Thu Feb 17 08:06:46 CST 2022, time=2022-02-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1183662, encodeId=3e991183662fa, content=<a href='/topic/show?id=23e3454e353' target=_blank style='color:#2F92EE;'>#学习#</a>xuex, beContent=null, objectType=guider, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=45473, encryptionId=23e3454e353, topicName=学习)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=99fa6392351, createdName=ms5000000614483588, createdTime=Wed Jan 12 21:13:09 CST 2022, time=2022-01-12, status=1, ipAttribution=)]
    2024-01-23 ms4000000981297947 来自广东省

    很好

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=2183487, encodeId=098f218348e3d, content=很好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=15, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=fa645400423, createdName=ms4000000981297947, createdTime=Tue Jan 23 18:54:47 CST 2024, time=2024-01-23, status=1, ipAttribution=广东省), GetPortalCommentsPageByObjectIdResponse(id=2112775, encodeId=81022112e75e4, content=棒!, beContent=null, objectType=guider, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3b832488487, createdName=12472f98m72暂无昵称, createdTime=Thu Feb 02 18:11:34 CST 2023, time=2023-02-02, status=1, ipAttribution=北京), GetPortalCommentsPageByObjectIdResponse(id=1215426, encodeId=7059121542637, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=966b5133829, createdName=146600e0m46暂无昵称, createdTime=Thu Apr 28 20:00:06 CST 2022, time=2022-04-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1194289, encodeId=1d4411942899b, content=棒, beContent=null, objectType=guider, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f4d92110516, createdName=buku, createdTime=Thu Feb 17 08:06:46 CST 2022, time=2022-02-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1183662, encodeId=3e991183662fa, content=<a href='/topic/show?id=23e3454e353' target=_blank style='color:#2F92EE;'>#学习#</a>xuex, beContent=null, objectType=guider, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=45473, encryptionId=23e3454e353, topicName=学习)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=99fa6392351, createdName=ms5000000614483588, createdTime=Wed Jan 12 21:13:09 CST 2022, time=2022-01-12, status=1, ipAttribution=)]
    2023-02-02 12472f98m72暂无昵称 来自北京

    棒!

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=2183487, encodeId=098f218348e3d, content=很好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=15, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=fa645400423, createdName=ms4000000981297947, createdTime=Tue Jan 23 18:54:47 CST 2024, time=2024-01-23, status=1, ipAttribution=广东省), GetPortalCommentsPageByObjectIdResponse(id=2112775, encodeId=81022112e75e4, content=棒!, beContent=null, objectType=guider, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3b832488487, createdName=12472f98m72暂无昵称, createdTime=Thu Feb 02 18:11:34 CST 2023, time=2023-02-02, status=1, ipAttribution=北京), GetPortalCommentsPageByObjectIdResponse(id=1215426, encodeId=7059121542637, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=966b5133829, createdName=146600e0m46暂无昵称, createdTime=Thu Apr 28 20:00:06 CST 2022, time=2022-04-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1194289, encodeId=1d4411942899b, content=棒, beContent=null, objectType=guider, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f4d92110516, createdName=buku, createdTime=Thu Feb 17 08:06:46 CST 2022, time=2022-02-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1183662, encodeId=3e991183662fa, content=<a href='/topic/show?id=23e3454e353' target=_blank style='color:#2F92EE;'>#学习#</a>xuex, beContent=null, objectType=guider, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=45473, encryptionId=23e3454e353, topicName=学习)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=99fa6392351, createdName=ms5000000614483588, createdTime=Wed Jan 12 21:13:09 CST 2022, time=2022-01-12, status=1, ipAttribution=)]
    2022-04-28 146600e0m46暂无昵称

    学习

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=2183487, encodeId=098f218348e3d, content=很好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=15, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=fa645400423, createdName=ms4000000981297947, createdTime=Tue Jan 23 18:54:47 CST 2024, time=2024-01-23, status=1, ipAttribution=广东省), GetPortalCommentsPageByObjectIdResponse(id=2112775, encodeId=81022112e75e4, content=棒!, beContent=null, objectType=guider, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3b832488487, createdName=12472f98m72暂无昵称, createdTime=Thu Feb 02 18:11:34 CST 2023, time=2023-02-02, status=1, ipAttribution=北京), GetPortalCommentsPageByObjectIdResponse(id=1215426, encodeId=7059121542637, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=966b5133829, createdName=146600e0m46暂无昵称, createdTime=Thu Apr 28 20:00:06 CST 2022, time=2022-04-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1194289, encodeId=1d4411942899b, content=棒, beContent=null, objectType=guider, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f4d92110516, createdName=buku, createdTime=Thu Feb 17 08:06:46 CST 2022, time=2022-02-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1183662, encodeId=3e991183662fa, content=<a href='/topic/show?id=23e3454e353' target=_blank style='color:#2F92EE;'>#学习#</a>xuex, beContent=null, objectType=guider, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=45473, encryptionId=23e3454e353, topicName=学习)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=99fa6392351, createdName=ms5000000614483588, createdTime=Wed Jan 12 21:13:09 CST 2022, time=2022-01-12, status=1, ipAttribution=)]
    2022-02-17 buku

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=2183487, encodeId=098f218348e3d, content=很好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=15, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=fa645400423, createdName=ms4000000981297947, createdTime=Tue Jan 23 18:54:47 CST 2024, time=2024-01-23, status=1, ipAttribution=广东省), GetPortalCommentsPageByObjectIdResponse(id=2112775, encodeId=81022112e75e4, content=棒!, beContent=null, objectType=guider, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3b832488487, createdName=12472f98m72暂无昵称, createdTime=Thu Feb 02 18:11:34 CST 2023, time=2023-02-02, status=1, ipAttribution=北京), GetPortalCommentsPageByObjectIdResponse(id=1215426, encodeId=7059121542637, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=966b5133829, createdName=146600e0m46暂无昵称, createdTime=Thu Apr 28 20:00:06 CST 2022, time=2022-04-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1194289, encodeId=1d4411942899b, content=棒, beContent=null, objectType=guider, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f4d92110516, createdName=buku, createdTime=Thu Feb 17 08:06:46 CST 2022, time=2022-02-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1183662, encodeId=3e991183662fa, content=<a href='/topic/show?id=23e3454e353' target=_blank style='color:#2F92EE;'>#学习#</a>xuex, beContent=null, objectType=guider, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=45473, encryptionId=23e3454e353, topicName=学习)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=99fa6392351, createdName=ms5000000614483588, createdTime=Wed Jan 12 21:13:09 CST 2022, time=2022-01-12, status=1, ipAttribution=)]