Symptoms and signs of hyperthyroidism?

summary

Hyperthyroidism is short for "hyperthyroidism", which is caused by the synthesis and release of too much thyroid hormone by thyroid gland, resulting in body metabolism hyperthyroidism and sympathetic nerve excitement, causing palpitation, sweating, eating and defecation increase and weight loss. Most patients often have exophthalmos, eyelid edema, vision loss and other symptoms at the same time. Symptoms and signs of hyperthyroidism? Let's talk about it.

Symptoms and signs of hyperthyroidism?

Thyroid hormone is to promote metabolism, promote the body redox reaction, metabolic hyperthyroidism requires the body to increase food intake; The gastrointestinal activity was enhanced, and the number of stools increased; Although food intake increased, oxidative reaction increased, body energy consumption increased, and patients showed weight loss; Fever increased, the performance of fear of heat sweating, individual patients with low fever; The increase of thyroid hormone stimulates sympathetic nerve excitement, and clinical manifestations include palpitation, tachycardia, insomnia, emotional excitement, and even anxiety.

Physical examination found that the patient's goiter (mild to severe goiter), goiter in elderly patients is often not obvious, thyroid texture is soft or medium, severe patients with stethoscope can hear the whole period of vascular murmur, severe hyperthyroidism and even tremor with hand touch. The heart rate of hyperthyroidism patients is usually faster than 90 beats / min at rest. Elderly patients can show rapid atrial fibrillation.

Hyperthyroidism patients with hot skin, hand tremor, many patients also showed eyelid edema, eyelid fissure widened, eyes less blinking, bulbar conjunctival congestion and edema. Severe patients can show exophthalmos, limited eye movement, and even eyelid insufficiency. Some patients with severe hyperthyroidism show mucinous edema in front of the tibia (tibia) of the lower limbs. The skin in front of the tibia thickens, thickens and coarsens. It is orange peel like and sweat hair thickens, which is similar to elephant skin leg.

matters needing attention

Surgical treatment is suitable for those with significant goiter, or highly suspected thyroid malignant tumor, or thyroid enlargement with tracheal compression caused by dyspnea. Before operation, thyroid function should be controlled in normal range with drugs, and oral compound iodine solution should be taken before operation.