儿童甲状腺功能亢进症的诊断、治疗及预后  

Diagnosis, treatment and prognosis of hyperthyroidism in children

作　　者：陈晓波[1] 宋福英[1] Chen Xiaobo;Song Fuying(Department of Endocrinology, Children′s Hospital Affiliated to Capital Institute of Pediatrics, Beijing 100020, China)

机构地区：[1]首都儿科研究所附属儿童医院内分泌科,100020

出　　处：《中华实用儿科临床杂志》2019年第8期561-564,共4页Chinese Journal of Applied Clinical Pediatrics

摘　　要：儿童甲状腺功能亢进症病因以Graves病最常见,临床表现为甲状腺大、眼部疾病(眼眶病)及全身多系统高代谢表现。诊断包括甲状腺功能诊断及病因诊断。治疗方法包括抗甲状腺药物治疗、放射性碘治疗及甲状腺外科手术治疗。儿童甲状腺功能亢进症大多数首选抗甲状腺药物治疗,需关注抗甲状腺药物治疗相关的不良反应。现就儿童甲状腺功能亢进症的诊断、治疗及预后进行阐述。Graves′ disease is the most common cause of hyperthyroidism in children, its clinical manifestations includes goiter, eye diseases (orbital diseases) and systemic hypermetabolism.Diagnosis includes thyroid function and etiological examinations.Treatment options includes anti-thyroid medications (ATDs), radioactive iodine therapy, and thyroid surgery.ATDs are the preferred treatment for children with hyperthyroidism, and attention should be paid to the adverse reactions associated with ATDs.Now, the diagnosis, treatment and prognosis of hyperthyroidism in children are reviewed.

关 键 词：甲状腺功能亢进症 诊断 治疗 儿童 

分 类 号：R725.8[医药卫生—儿科]