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选择治疗甲状腺机能亢进前应考虑:(a)诊断是否正确;(b)甲亢的严重程度;(c)甲状腺激素过多的原因;(d)病人年龄、甲状腺肿的大小、并发症、以前的治疗等因素;(e)病人喜好。根据临床而不是生化指标判断病情严重,一般说尚无安全的药物能替代甲亢平、他巴唑或丙基硫氧嘧啶等药物而使病人尽快恢复甲状腺机能正常。对于这些药物的应用有许多不同的给药方案,单用或同外科、放射性碘,或与β—阻断剂、碘化物或甲状腺素等药物联合治疗。病人确实在甲状腺机能方获得一定的正常,但常存在一种潜在的异常。为了进行充分的随访,病人对其病情自然病史的了解是至关重要的。
Before choosing to treat hyperthyroidism should consider: (a) the diagnosis is correct; (b) the severity of hyperthyroidism; (c) the causes of thyroid hormone excess; (d) the patient’s age, the size of the goiter, complications, Treatment and other factors; (e) patient preferences. According to the clinical rather than biochemical indicators to determine the serious condition, in general, no safety of the drug can replace hyperthyroidism, methimazole or propylthiouracil and other drugs to enable patients to resume normal thyroid function as soon as possible. There are many different dosing regimens for the use of these drugs, either alone or in combination with surgery, radioactive iodine, or with drugs such as beta-blockers, iodides or thyroxine. The patient does get some normal thyroid function, but there is always a potential anomaly. The patient’s understanding of the natural history of his condition is crucial for adequate follow-up.