tag:blogger.com,1999:blog-186703262011-04-21T19:10:02.921-07:00China GadBeenoreply@blogger.comBlogger11100tag:blogger.com,1999:blog-18670326.post-1131197196764836032005-11-05T05:25:00.000-08:002005-11-05T05:26:36.776-08:00<table align="center" bgcolor="#336600" border="0" cellpadding="0" cellspacing="0" width="96%"> <tbody><tr> <td class="boldbluetitle148" align="middle" bgcolor="#ffffff">单纯性甲状腺肿</td></tr> <tr> <td bgcolor="#ffffff"> <table border="0" cellpadding="0" cellspacing="0" width="95%"> <tbody> <tr align="left"> <td class="font16" valign="center"> <p class="MsoNormal" style="margin: 0cm 0cm 0pt;"><span style="font-family: 宋体;">病因：环境缺碘是引起单纯性甲状腺肿的主要因素。此外，某些食物和药物可引起甲状腺素合成和分泌过程中某一环节的障碍。</span></p> <p class="MsoNormal" style="margin: 0cm 0cm 0pt;"><span lang="EN-US"> 1 </span><span style="font-family: 宋体;">甲状腺素原料（碘）缺乏；</span></p> <p class="MsoNormal" style="margin: 0cm 0cm 0pt;"><span style="font-family: 宋体;"> </span><span lang="EN-US">2 </span><span style="font-family: 宋体;">甲状腺素需要量增高；</span></p> <p class="MsoNormal" style="margin: 0cm 0cm 0pt;"><span style="font-family: 宋体;"> </span><span lang="EN-US">3 </span><span style="font-family: 宋体;">甲状腺素合成和分泌的障碍。</span></p> <p class="MsoNormal" style="margin: 0cm 0cm 0pt;"><span style="font-family: 宋体;">症状：</span><span lang="EN-US">1 </span><span style="font-family: 宋体;">颈部增粗（甲状腺不同程度的肿大）；</span></p> <p class="MsoNormal" style="margin: 0cm 0cm 0pt;"><span style="font-family: 宋体;"> </span><span lang="EN-US">2 </span><span style="font-family: 宋体;">对周围器官压迫引起的症状，如吞咽梗噎感、呼吸不畅、咽喉部发干等。</span></p> <p class="MsoNormal" style="margin: 0cm 0cm 0pt;"><span style="font-family: 宋体;"> </span><span lang="EN-US">3 </span><span style="font-family: 宋体;">可继发甲亢和恶变。</span></p> <p class="MsoNormal" style="margin: 0cm 0cm 0pt;"><span style="font-family: 宋体;">检查：</span><span lang="EN-US">B</span><span style="font-family: 宋体;">超、放射性核素显影检查、甲功等。</span></p> <p class="MsoNormal" style="margin: 0cm 0cm 0pt;"><span style="font-family: 宋体;">治疗：</span><span lang="EN-US">1 </span><span style="font-family: 宋体;">生理性甲状腺肿，宜多食含碘丰富的食物如海带、紫菜等。</span></p> <p class="MsoNormal" style="margin: 0cm 0cm 0pt;"><span lang="EN-US"><span style=""> </span>2 </span><span style="font-family: 宋体;">对</span><span lang="EN-US">20</span><span style="font-family: 宋体;">岁以下的弥漫性单纯性甲状腺肿病人可给予小量甲腺素。</span></p> <p class="MsoNormal" style="margin: 0cm 0cm 0pt;"><span lang="EN-US"><span style=""> </span>3 </span><span style="font-family: 宋体;">有以下情况时，应考虑施行甲状腺大部切除术治疗；</span></p> <p class="MsoNormal" style="margin: 0cm 0cm 0pt; text-indent: 26.25pt;"><span style="font-family: 宋体;"> （</span><span lang="EN-US">1</span><span style="font-family: 宋体;">）因气管、食管或喉返神经受压引起临床症状者；</span></p> <p class="MsoNormal" style="margin: 0cm 0cm 0pt; text-indent: 26.25pt;"><span style="font-family: 宋体;"> （</span><span lang="EN-US">2</span><span style="font-family: 宋体;">）胸骨后甲状腺肿；</span></p> <p class="MsoNormal" style="margin: 0cm 0cm 0pt; text-indent: 26.25pt;"><span style="font-family: 宋体;"> （</span><span lang="EN-US">3</span><span style="font-family: 宋体;">）巨大甲状腺肿影响生活和工作者；</span></p> <p class="MsoNormal" style="margin: 0cm 0cm 0pt; text-indent: 26.25pt;"><span style="font-family: 宋体;"> （</span><span lang="EN-US">4</span><span style="font-family: 宋体;">）结节性甲状腺肿继发功能亢进者；</span></p> <p class="MsoNormal" style="margin: 0cm 0cm 0pt; text-indent: 26.25pt;"><span style="font-family: 宋体;"> （</span><span lang="EN-US">5</span><span style="font-family: 宋体;">）结节性甲状腺肿疑有恶变者。</span></p></td></tr></tbody></table></td></tr></tbody> </table><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/18670326-113119719676483603?l=medchina.blogspot.com' alt='' /></div>China GadBeenoreply@blogger.com0