Rationale: Levothyroxine is the most commonly used agent in thyroid hormone replacement therapy. Although there are many hypothyroid patients who use levothyroxine as a treatment, high level of thyroid stimulating hor...Rationale: Levothyroxine is the most commonly used agent in thyroid hormone replacement therapy. Although there are many hypothyroid patients who use levothyroxine as a treatment, high level of thyroid stimulating hormone is found in a limited number of levothyroxine overdose cases worldwide.Patient concern: A 34-year-old male patient taking 4.5 mg levothyroxine for suicide. Diagnosis: Overdose of levothyroxine. Interventions: The patient was admitted to the intensive care unit for follow-up treatment. Cardiac rithym and vital parameters of patient were closely monitored. Outcomes: The patient discharged without any life-threatening complications. Lessons: Patient with initial high thyroid stimulating hormone levels may not be in hyperthyroidism crisis by levothyroxine poisoning.展开更多
Objective To observe the alterations of serum thyroid hormone levels in acute exacerbation of chronic obstructive pulmonary disease(AECOPD)patients without thyroid disease and therefore to investigate the association ...Objective To observe the alterations of serum thyroid hormone levels in acute exacerbation of chronic obstructive pulmonary disease(AECOPD)patients without thyroid disease and therefore to investigate the association between serum thyroid hormone levels and the severity and prognosis of AECOPD.Methods Serum thyroid hormone levels including TT4,TT3,TSH,FT4 and展开更多
目的探讨甲状腺腺叶切除术治疗甲状腺结节的临床效果。方法选择2020年1月—2022年1月中国人民解放军陆军第七十三集团军医院普通外科选取甲状腺结节患者125例,分为实施甲状腺次全切除术治疗(对照组,n=62)与实施甲状腺腺叶切除术治疗(观...目的探讨甲状腺腺叶切除术治疗甲状腺结节的临床效果。方法选择2020年1月—2022年1月中国人民解放军陆军第七十三集团军医院普通外科选取甲状腺结节患者125例,分为实施甲状腺次全切除术治疗(对照组,n=62)与实施甲状腺腺叶切除术治疗(观察组,n=63)。比较两组的效果。结果观察组的有效率高于对照组,各项手术指标均好于对照组(P<0.05)。治疗后观察组的血清甲状腺素(thyroxine in vitro diagnostic kits,T4)、甲状腺过氧化酶(recombinant human thyroid peroxidase,TPO)低于对照组,促甲状腺激素(thyroidstimulating hormone,TSH)高于对照组,生活质量高于对照组,治疗后观察组的负性情绪低于对照组,并发症发生率低于对照组(P<0.05)。结论针对甲状腺结节患者,临床进行甲状腺腺叶切除术治疗,效果显著。展开更多
文摘Rationale: Levothyroxine is the most commonly used agent in thyroid hormone replacement therapy. Although there are many hypothyroid patients who use levothyroxine as a treatment, high level of thyroid stimulating hormone is found in a limited number of levothyroxine overdose cases worldwide.Patient concern: A 34-year-old male patient taking 4.5 mg levothyroxine for suicide. Diagnosis: Overdose of levothyroxine. Interventions: The patient was admitted to the intensive care unit for follow-up treatment. Cardiac rithym and vital parameters of patient were closely monitored. Outcomes: The patient discharged without any life-threatening complications. Lessons: Patient with initial high thyroid stimulating hormone levels may not be in hyperthyroidism crisis by levothyroxine poisoning.
文摘Objective To observe the alterations of serum thyroid hormone levels in acute exacerbation of chronic obstructive pulmonary disease(AECOPD)patients without thyroid disease and therefore to investigate the association between serum thyroid hormone levels and the severity and prognosis of AECOPD.Methods Serum thyroid hormone levels including TT4,TT3,TSH,FT4 and
文摘目的探讨甲状腺腺叶切除术治疗甲状腺结节的临床效果。方法选择2020年1月—2022年1月中国人民解放军陆军第七十三集团军医院普通外科选取甲状腺结节患者125例,分为实施甲状腺次全切除术治疗(对照组,n=62)与实施甲状腺腺叶切除术治疗(观察组,n=63)。比较两组的效果。结果观察组的有效率高于对照组,各项手术指标均好于对照组(P<0.05)。治疗后观察组的血清甲状腺素(thyroxine in vitro diagnostic kits,T4)、甲状腺过氧化酶(recombinant human thyroid peroxidase,TPO)低于对照组,促甲状腺激素(thyroidstimulating hormone,TSH)高于对照组,生活质量高于对照组,治疗后观察组的负性情绪低于对照组,并发症发生率低于对照组(P<0.05)。结论针对甲状腺结节患者,临床进行甲状腺腺叶切除术治疗,效果显著。