邵堂雷，上海交通大学医学院附属瑞金医院普外科副主任医师，擅长甲状腺良性和恶性疾病的外科治疗，甲状腺肿...，在线为您提供门诊预约加号（挂号），在线咨询/问诊，电话咨询/问诊，在线会诊等服务。累计发表科普文章32篇，共帮助患者26144人，共获得患者感谢信和投票信息763条，帮助广大患者了解邵堂雷医生看什么病最好，找邵堂雷医生怎么样，好不好。
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【邵堂雷】上海交通大学医学院附属瑞金医院普外科_网上预约挂号_电话/在线咨询_私人医生-好大夫在线 | avatar.shaotl.haodf.com Reviews
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邵堂雷，上海交通大学医学院附属瑞金医院普外科副主任医师，擅长甲状腺良性和恶性疾病的外科治疗，甲状腺肿...，在线为您提供门诊预约加号（挂号），在线咨询/问诊，电话咨询/问诊，在线会诊等服务。累计发表科普文章32篇，共帮助患者26144人，共获得患者感谢信和投票信息763条，帮助广大患者了解邵堂雷医生看什么病最好，找邵堂雷医生怎么样，好不好。
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上海瑞金医院邵堂雷大夫文章
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邵堂雷大夫个人网站
http://avatar.shaotl.haodf.com/huanyouhui/thread/2429946866.htm
邵堂雷大夫个人网站
http://avatar.shaotl.haodf.com/huanyouhui/thread/2571267060.htm
邵堂雷大夫个人网站
http://avatar.shaotl.haodf.com/huanyouhui/thread/2469745891.htm
首先我们看看先天性甲状腺功能减退宝宝在新生儿期 生后28天 的表现 最主要的是三超 过期产、巨大儿、新生儿黄疸期延长 三少 少动、少吃、少哭，其他的还包括便秘、脐疝、皮肤干燥、舌大以及鼻梁低平等特征，但这些特征不具有特异性，也不是有了这些症状肯定是甲状腺出了问题。 如果出现FT4水平降低，TSH水平升高，则可以确诊为先天性甲减 当筛查时出现以下情况时应该在血清复测结果出来前，就开始药物替代治疗 筛查时TSH结果大于40mIU/L，或者B超发现甲状腺不良甚至没有甲状腺时，或筛查的TSH 10mIU/L并且宝宝出现2种以上的甲减临床表现，或伴有股骨远端骨化中心延迟出现时。 当静脉血复检时，虽然FT4正常，但TSH大于10mIU/L 尤其是2-20周龄的宝宝，TSH值正常范围在1.7-9.1mIU/L之间 ，这种情况可以称作高TSH血症，目前倾向于用L-T4进行替代治疗。
邵堂雷大夫个人网站
http://avatar.shaotl.haodf.com/huanyouhui/thread/1899308602.htm
特别提示，以上两类结节即使B超描述结节内出现点状强回声，即所谓的 钙化 ，也是良性的 钙化。 因此，2012年由中华医学会内分泌学分会、中华医学会外科学分会内分泌学组、中国抗癌协会头颈肿瘤专业委员会和中华医学会核医学分会共同制定的 甲状腺结节和分化型甲状腺癌诊治指南 建议，对甲状腺良性结节，其手术指证为 出现与结节明显相关的局部压迫症状 合并甲状腺功能亢进 内科治疗无效者 肿物位于胸骨后或纵隔内。
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【邵堂雷】上海交通大学医学院附属瑞金医院普外科_网上预约挂号_电话/在线咨询_私人医生-好大夫在线
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