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Jingdong book

甲状腺功能亢进310个怎么办（第3版）

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Jingdong book

甲状腺功能亢进310个怎么办（第3版）

Name: 甲状腺功能亢进310个怎么办（第3版）
Brand: Jingdong book
SKU: 3117118351
Price: 17.08 USD
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Content Description

为满足读者的需求，近来，应邀编写《甲状腺功能亢进310个怎么办（第3版）》仍由白耀教授率队，秉承前两版立意和撰写手法，内容在第2版基础之上，结合医学的进步，社会的发展，做了不少增减和补充。内容包括甲亢的发病、临床表现、检查、诊断、治疗方法及儿童、孕产妇的特殊人群和特殊表现等。与前两版比较，第3版修订幅度较大，涵盖了国内外最新的甲亢相关科学研究的指南、理念和进展。

Author Description

白耀，北京协和医院内分泌科，教授，主任医师。
现任中华医学会内分泌分会甲状腺学组顾问。曾任中华医学会内分泌分会常务委员，甲状腺学组负责人。北京内分泌学会主任委员，名誉主任委员。作为北京协和医院甲状腺病学组的创始人，从事甲状腺病研究数十载，期间发表学术论文110余篇，主编《甲状腺病学一基础与临床》《中华医学百科大词海一内科第二卷》《临床内科急诊学》，参与《糖尿病学》《现代内科学》《内科临床与进展》《协和内分泌和代谢学》《临床内科急诊学》《中华内科学》等与30余部大型医学参考书编写。
先后荣获中国医学科学院中国协和医科大学科技成果奖，国家卫生部科技进步三等奖，国家科技进步二等奖。北京协和医院杰出贡献奖，北京医学会工作贡献奖，中华医学会内分泌分会终身成就奖。

连小兰，医学博士，北京协和医院内分泌科，教授，主任医师。
曾任中华医学会内分泌分会青年委员会首届副主委，现任中华医学会北京分会内分泌专业委员会副主任委员，中华医学会内分泌分会委员，中华医学会内分泌分会甲状腺学组副组长，中国老年学会内分泌专业委员会常委，国家药品监督管理局药物评审专家，《中华内分泌代谢杂志》《中华老年多脏器功能衰竭杂志》《中国实用内科杂志》《药物不良反应》等杂志的编委，《中华医学杂志>和《中华内科杂志》审稿专家。
主要从事内分泌临床及基础研究，特别是甲状腺疾病的临床与基础研究，参与《甲状腺病学一基础与临床》《协和内分泌和代谢学》《临床内科急诊学》和《内分泌内科学》等10余部书籍的编写，先后发表相关学术文章80余篇。

Catalogue

一、甲亢的概述
1.什么是甲亢？甲亢病是怎么回事？
2.甲亢常见吗？
3.哪些年龄和哪种性别的人容易得甲亢？
4.甲亢近年的发病人数在增多，这是为什么？
5.甲亢仅只有一种类型吗？还是包括多种类型？
6.甲亢是属于良性还是恶性疾病？能够治疗好吗？

二、甲亢的临床表现
7.甲亢最具有特征性的表现有哪些？
8.甲亢病人的脖子都增粗吗？
9.脖子大的人都是甲亢吗？
10.医生在颈部（脖子）前边听到有血管杂音就是甲亢吗？
11.甲状腺上有结节（疙瘩）是得了甲亢吗？
12.心慌就是得了甲亢病吗？
13.心律不齐有可能是得了甲亢病吗？
14.甲亢时有心慌是伴有心脏病吗？
15.吃的多就是甲亢吗？
16.体重减轻都是患了甲亢吗？
17.腹泻都是甲亢吗？
18.甲亢病人会有食欲减退吗？
19.手发抖时都是患甲亢了吗？
20.甲亢会使病人的记忆力减退吗？
21.甲亢病人会有精神不正常吗？
22.甲亢和抽搐有关系吗？
23.甲亢病人，感觉全身没有劲是怎么回事？
24.患甲亢后四肢会不能动（软瘫）吗？
25.甲亢病人都有眼睛突出吗？
26.眼球突出都是甲亢吗？
27.甲亢会有贫血吗？
28.小腿前边肿胀和甲亢有关系吗？
29.甲亢病人会有发热吗？
30.患甲亢以后，病人会若无其事、没有任何感觉吗？
31.甲亢病人，比较少见的临床表现有哪些？
32.有哪些表现要想到是得了甲亢，需要去医院检查就诊？
33. T3型甲亢是怎么回事？
34.淡漠型甲亢是怎么回事？
35.甲亢危象是怎么回事？
36.体重没有明显减少或长胖，一定不是甲亢吗？
37.胖甲亢是怎么回事？
38.同一个家庭中，可以存在多个甲亢病人吗？
39.在治疗甲亢时，病人如果发生了甲状腺功能减退（甲减）临床有哪些表现？
40.小孩、老年人得了甲亢，他们的表现与青年和成年人一样吗？
41.小儿甲亢在药物治疗期间会影响生长发育吗？
42.甲亢与更年期有什么关系？
……
四、甲亢的并发症
五、甲亢的后果和预防
六、甲亢与儿科
七、甲亢与妇产科
八、甲亢与外科
九、甲亢与核医学科
十、甲亢与眼科
十一、甲亢与皮肤病
十二、甲亢与放射治疗
十三、甲亢与护理

Book Abstract

《甲状腺功能亢进310个怎么办（第3版）》：
病人得甲亢以后，脖子（甲状腺）可能增粗、增大，也可能不肿大，病人的甲状腺增大与否，增大的程度，与他的甲状腺功能亢进的严重程度不一定平行，也就是说，甲状腺增大的病人，甲亢的病情不一定就重，而肿大不明显的，却有可能是甲亢的病情较严重。
常用的硫脲嘧啶类抗甲状腺药，它治病的药理作用是阻止甲状腺激素在甲状腺内的合成和纠正免疫功能失常。在几个月或1~2年的长期服药的时候，由于甲状腺激素合成减少，甲状腺就可能代偿性增大，就像在一个制造产品的工厂，产品任务数不能改变，而工人数减少了，厂房面积必须相应扩大才能够完成任务一样。有人观察，在用抗甲状腺药物治疗时，半数以上甲亢病人的甲状腺，随着治疗后甲亢病情的好转，甲状腺反而会逐渐长大，这并不意味这个病人的甲亢病情在加重。此时，如果甲状腺增大得不太严重，不必介意，也不需要做特别处理；如果增大得较明显，医生就会根据病情给加些甲状腺激素制剂，常会好转。
使用抗甲状腺药过程中引起甲状腺的肿大，在1~2年的用药疗程期满停药以后，多半可以渐渐缩小，不会继续增大。
102.甲亢病人在长期药物治疗的时候，出现身上水肿和解大便困难怎么办？
在用抗甲状腺药物治疗甲亢的时候，有一些病人随着甲亢病情的不断好转，逐渐出现身上发胀、面部和全身水肿、体重显著增加、精神差、乏力、想睡觉、怕冷、解大便困难、大便干燥等现象，这是由于抗甲状腺药不只使甲亢病情得到控制，在药物的不断作用下，进而引起了甲状腺功能低下的表现。
以上表现可能出现在甲亢开始治疗的几周以后，也可能在用药的几个月当中，遇有这些现象发生时，应该及早去看医生，不要自做主张进行处理，更不能随便更改抗甲状腺药物的用法和药量。
甲亢病人用药过程中出现甲状腺功能减退有时是难于预料的，这和病情的变化有关，和每个病人对药物反应的敏感程度的个体差异不一样也有关系。
在药物治疗中，出现了甲状腺功能减退，说明对于目前的甲亢病情而言，当前所用的抗甲状腺药的剂量过多了，并不说明原来用药合适或不合适，用药过程发生甲状腺功能减退，当然不是原来安排治疗时希望有的，但说明病人对目前的药物和药量有反应、有效。一旦发生了功能减退，一般来说，对病人身体健康不会带来明显不利的影响，经过医生及时、恰当地调整药量，不难得到纠正。
由于是在治疗的不同时期发生的功能减退，因此医生安排下一步治疗方案时，既要想到对眼前甲状腺功能减退的处理，还要考虑尽量防止或减少病人将来甲亢可能复发的问题。所以，在处理时不能只是简单的减少或停服抗甲状腺药就认为可以了。
……

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