甲减的临床分型及症状表现（Clinical classification and symptom manifestation of hypothyroidism）.docVIP

甲减的临床分型及症状表现（Clinical classification and symptom manifestation of hypothyroidism） Clinical classification of 1. hypothyroidism (including central inferior hypothalamus and pituitary hypothyroidism, hypothyroidism): (1) clinical hypothyroidism: in theory depends on thyroid hormone, speed and degree of urgency, hormone deficiency but actually severity of clinical manifestations and the explicit implicit depends on the onset, and there is a certain relationship with the reaction of individual differences on thyroid hormone decrease, sometimes lack of clinical symptoms can be mild so serious thyroid hormone. Therefore, the diagnostic criteria of clinical hypothyroidism should have different degrees of clinical manifestations and the decrease of serum T3 and T4, especially the decrease of serum T4 and FT4, which is an objective laboratory index of clinical hypothyroidism. Clinical hypothyroidism can be divided into heavy and light, the former symptoms are obvious, involving a wide range of systems, often manifested as mucous edema, the latter symptoms are mild or atypical. (2) subclinical hypothyroidism: there is no obvious clinical manifestation: normal serum T3, normal or lower T4, and should be diagnosed according to TSH test or / and TRH test. 2. adult mucous edema is more than 40~60 years old, the ratio of male to female is 1 to 4.5. Insidious onset, slow progression, up to more than ten years, but obvious myxedema symptoms. The etiology is unknown, the lesions are more complete; secondary lesions are mostly incomplete, and some patients can be restored (such as hyperthyroidism drugs overdose). The onset of illness due to surgery or radiation is not very insidious. Early symptoms begin at fourth weeks, and typical symptoms are common after eighth weeks. The earliest symptoms of mucous edema are reduced sweating, cold, slow movement, malaise, fatigue, lethargy, mental retardation, poor appetite, weight gain, and large knots. When typical symptoms occur, the following