论文部分内容阅读
甲状腺疾病常见于老年人群中,Burr-oughs等结合文献报道提出老年门诊病人中发生率为2.3～7％。然而,医生常想不到甲状腺功能异常也是老年人常见的病因之一,以致将许多甲低和甲亢的不典型症状和体征误认为是“衰老”所致。对老年人甲状腺疾病不但临床诊断有困难,而且实验室结果也不易解释。例如,Davis等测定60岁以上老年甲亢病人血清蛋白结合碘(PBI)有20％正常;Henschke等报道老年甲亢者甲状腺吸~(131)I率可接近正常,特别是多结节性甲状腺肿者。老年甲低病人血清甲状腺素(T_4)和三碘甲腺原氨酸(T_3)水平也可正常。此外,有些甲状腺功能正常的老年人,其实验室结果也可降低或升高。这均说
Thyroid disease is common in the elderly population, Burr-oughs combined with the literature reported that the incidence of elderly out-patients was 2.3 to 7%. However, doctors often think that thyroid dysfunction is one of the common causes of senile people, so many hypothyroidism and atypical symptoms and signs of hyperthyroidism mistaken for the “aging” due. Thyroid disease in elderly patients not only difficult to diagnose, but also difficult to explain the laboratory results. For example, Davis et al. Measured 20% normal serum albumin-bound iodine (PBI) in elderly patients with hyperthyroidism over 60 years of age. Henschke et al reported that thyroid uptake of 131 I was nearly normal in elderly patients with hyperthyroidism, especially those with multiple nodular goiter . Serum thyroxine (T_4) and triiodothyronine (T_3) levels may also be normal in elderly patients with hypothyroidism. In addition, some elderly people with normal thyroid function may have their laboratory results reduced or increased. This is all said