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本文描述作者8年间所见到的20例糖尿病并发甲状腺机能亢进(简称甲亢)的情况。70例中女性47例,男性23例。年龄15岁~76岁。63例患者糖尿病起病先于甲亢,7例同时起病。糖尿病病程1月~29年。10例有糖尿病家族史,10例有甲状腺病家族史,2例兼有糖尿病及甲亢家族史。70例中9例(年龄46~76岁,平均61岁)呈隐蔽型甲亢,体重降低是主要症状,半数以上有心血管体征,仅2例甲状腺增大。发生甲亢时应用胰岛素的患者中的58%(28/48例)及应用口服降糖药者中的18%(4/22例),出现
This article describes the 20 cases of diabetic hyperthyroidism (Hyperthyroidism) seen in 8 years. Among 70 cases, 47 were female and 23 were male. Aged 15 to 76 years old. 63 patients with diabetes preceded hyperthyroidism and 7 patients with onset. Diabetes course from January to 29 years. 10 cases had a family history of diabetes, 10 cases had a family history of thyroid disease, 2 cases had both family history of diabetes and hyperthyroidism. Ninety cases (aged 46-76 years, average 61 years old) showed concealed hyperthyroidism, the main symptom was weight loss, more than half had cardiovascular signs and only two cases had thyroid enlargement. 58% (28/48 patients) of those who applied insulin in the event of hyperthyroidism and 18% (4/22 patients) of those who took oral hypoglycemic agents developed