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甲亢突眼怎么恢复 郭辉 西安交通大学第一附属医院 甲亢突眼是一个比较复杂的临床问题。对于有些甲亢患者,突眼主要和甲亢相伴的,交感神经兴奋性高是相关的。对于这种类型的凸眼,一般来讲的话病人容易恢复。随着甲亢控制的好转,凸眼的问题也就会自然缓解。但是还有一部分病人的话,凸眼的发生它是和免疫相关,主要就是因为球后的软组织,发生了一些异常的免疫反应,造成了甲亢病人比如说眼外肌眼睑等。包括眼球后的脂肪组织,由于炎症反应的存在,出现了组织的增生肥大等。对于这类患者,在治疗上就有一些难度。除了针对甲亢进行治疗之外,针对眼病也要给予有效的治疗措施。而且在治疗之后凸眼的恢复,需要一个相对比较长的这样的一个过程。对于球后软组织炎症反应,造成的这种凸眼,在治疗上的话相对来讲比较复杂。而且对这类患者,即使经过有效的治疗,这种凸眼的恢复也是有限的,要很难恢复到发病前的完全自然的状态。 How to recover hyperthyroidism exophthalmos Exophthalmos is a complicated clinical problem. For some patients with hyperthyroidism, Exophthalmos is mainly accompanied by hyperthyroidism, High sympathetic excitability is related. For this type of protrusion, Generally speaking, patients are easy to recover. With the improvement of hyperthyroidism control, The problem of protruding eyes will be relieved naturally. But if there are some patients, It's related to immunity, Mainly because of the soft tissue behind the ball, There are some abnormal immune reactions, It causes hyperthyroidism, such as the eyelids of extraocular muscles. Including the fat tissue behind the eyeball, Because of the inflammation, There are hyperplasia and hypertrophy of tissue. For such patients, There are some difficulties in treatment. In addition to treatment for hyperthyroidism, Effective treatment measures should also be given for ophthalmopathy. And the recovery of the protrusion after treatment, It needs a relatively long process. For the inflammatory reaction of postbulbar soft tissue, This kind of raised eye, In terms of treatment, it is relatively complicated. And for these patients, Even after effective treatment, The recovery of this kind of convex eye is also limited, It is difficult to return to the completely natural state before the onset of the disease.