先天性甲状腺功能减低症 课件.pptVIP

INVESTIGATIONSScreening all neonates are screen at 48 hours for TSH (and/or T4) from a blood drop placed on filter paper if result is 0.20 mIU/L see patient immediately for history/physical, to draw a serum T4 and TSH, and to start thyroid hormone therapy (see below) Serum elevated TSH and reduced T4 anemia unconjugated hyperbilirubinemia Radionuclide Scintigraphy radioactive technetium to detect developmental defects of the thyroid (i.e., dysgenesis, ectopia, etc.) Skeletal X-Rays for baseline bone age retardation of osseous development * 主要临床特征为生长发育落后、智能低下和生理功能低下。 * 男性13