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甲状腺机能亢进症(甲亢)是由甲状腺激素(TH)分泌过多所致代谢率增高的一种综合表现,可分为Graves病(GD)和非GD甲亢两种。典型GD又称Basedow病、Parry病、毒性弥漫性甲状腺肿,约占所有甲亢的85％,具有四大特征:①TH分泌过多引起的高代谢症群;②甲状腺肿大;③GD眼病;④GD皮肤病。本文讨论的是不典型甲亢的诊断与治疗,包括:①GD型甲亢的不典型表现与治疗;②非GD甲亢的诊断与治疗。 1 GD型甲亢的不典型表现与治疗 1.1 新生儿甲亢 Ochsner等于1910年首先报
Hyperthyroidism (Hyperthyroidism) is an overall manifestation of increased metabolic rate caused by thyroid hormone (TH) hyperactivity. It can be divided into Graves disease (GD) and non-GD hyperthyroidism. Typical GD, also known as Basedow’s disease, Parry’s disease, toxic diffuse goiter, accounting for about 85% of all hyperthyroidism, has four characteristics: ① hypersecretion of hyperthyroidism caused by excessive secretion of thyroid; ② goiter; ③ GD eye disease; ④ GD skin disease. This article discusses the diagnosis and treatment of atypical hyperthyroidism, including: ① atypical manifestation and treatment of GD hyperthyroidism; ② diagnosis and treatment of non-GD hyperthyroidism. 1 GD-type atypical manifestations and treatment of hyperthyroidism 1.1 neonatal hyperthyroidism Ochsner equal to 1910 first reported