查詢結果分析
相關文獻
- Child Transitional Object Attachment: Nature, Development, and Related Factors
- Hyperthyroidism in children
- 散布性交易訊息刑罰化合憲否
- 兒童知覺動作發展
- 聯合國與盧安達人權:滅絕種族及其他罪行之懲治
- 學齡前兒童之聽力篩檢
- Strokes in Children: A Medical Center-Based Study
- 兒童癲癇重積狀態
- The Effectiveness of Dietary Instruction in Obese School Children of Southern Taiwan
- 諾爾斯成人教育學模型在國中補校教學上的適用性--以公民科為例
頁籤選單縮合
題 名 | Hyperthyroidism in children=兒童甲狀腺機能亢進症 |
---|---|
作 者 | 林美慧; 蔡文友; 陳森輝; | 書刊名 | 中華民國小兒科醫學會雜誌 |
卷 期 | 29:2 民77.03-04 |
頁 次 | 頁96-103 |
分類號 | 417.5931 |
關鍵詞 | 甲狀腺機能亢進症; 兒童; |
語 文 | 英文(English) |
中文摘要 | 從1970年至1986年,我們收集臺大醫院小兒科內分泌門診所診治的66例甲腺機能亢進症病童做爲分析對象,其中男女比爲1比5.6,發病年齡自3歲到15歲不等,而以青春時期最多,除一例曾接受甲狀腺手術後復發者外,其餘65例皆以藥物爲最初治療。大部份的病人只要能繼續服藥及無副作用産生,在3個月內皆可恢復正常機能。其中接受至少兩年連續藥物治療後停藥觀察者有48例,供藥物治療效果的判斷。若停藥後可維持正常機能至少一個月者,稱爲暫時性緩解,在48例中有34例,佔71%。若可達一年以上者,稱為永久性緩解,在48例中共有14例,佔29%,即藥物治療的成功率爲29%。文獻上的報告亦多半在50%以下。曾有暫時性緩解的34例中有17例再發,且多發生於停藥後一年內,其中4例接受手術治療,2例失去追蹤,11例再恢復藥物治療,其中2例分別在治療7(1/2)年及8年後達永久性緩解。由我們的觀察可知,雖然藥物治療的成功率不高,但副作用不大,值得先嘗試一個療程,甚至更久,而藥物治療失敗後才考慮手術或放射性碘治療。 |
英文摘要 | Sixty six children with hyperthyroidism have been studied over the period 1970-1986. All but one received medical treatment with methimazole as initial therapy. Among the 48 patients who were observed for at least 2 years, 34 remained euthyroid after discontinuing medication. The temporary remission rate was 71% (34/48). Seventeen of these 34 Patients had recurrence of disease. It occurred within the first one year after discontinuing medication in 14 of these 17 Patients. Sustained remission for more than one year following cessation of medicines occurred in 14 of the 48 partients. The sustained remission rate was 29% (14/48). Despite the low sustained remission rte, medical treatment is still the primay form of treatment for chidhood hyperthyroidism, with surgery or radioactive iodine as the alternate treatment upon failure of medical management. |
本系統中英文摘要資訊取自各篇刊載內容。