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甲状腺机能减退症(甲减)是一种慢性病。如果停止治疗常伴有隐匿性发作。作者等观察了一些服用稳定剂量的左旋甲状腺素治疗原发性甲减的病人,尽管血清T_4和T_3正常,但TSH偶有升高。因为血清TSH浓度并不随甲状腺替代治疗的开始和停止而迅速升高或下降。作者进行了一项研究以确定血清TSH浓度是否为左旋甲状腺素治疗甲减病人顺应性的一个有用的指标。 选择的病例为临床上甲状腺正常,其它方面健康的门诊病人。血清TSH至少为正常上限的两倍,FT_4I和FT_3I正常者。左旋甲状腺素剂量被调整或
Hypothyroidism (hypothyroidism) is a chronic disease. If you stop treatment often accompanied by occult seizures. The authors observed that some patients taking a stable dose of levothyroxine to treat primary hypothyroidism occasionally raised TSH, despite the normal serum levels of T_4 and T_3. Because serum TSH concentrations do not rapidly increase or decrease with the start and stop of thyroid replacement therapy. The authors undertook a study to determine whether serum TSH concentrations are a useful indicator of compliance with levothyroxine for hypothyroidism. Selected cases of clinically normal thyroid, other aspects of the health of out-patients. Serum TSH at least twice the upper limit of normal, FT_4I and FT_3I normal. L-thyroxine dose is adjusted or