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男性甲状腺功能亢进症(甲亢)较女性甲亢发病率低,且症状常不典型,故有时不易诊断。为了提高对男性甲亢特点的认识,避免误诊、漏诊,我们对近3年确诊的男性甲亢患者33例与同期女性甲亢患者102例进行对照分析,现报道如下。 1临床资料 1.1一般资料 甲亢患者135例,男33例,年龄(40.3±17.2)岁,病程6个月～1.5年,女102例,年龄(38.5±19.7)岁,病程3个月～1.2年。于治疗前,所有患者接收甲状腺功能检查,结果显示其游离三碘甲状腺原氨酸(FT_3)、游离甲状腺素(FT_4)水平均明显高于正常范围,促甲状腺激素(TSH)水平处于正常范围的低限。对于不典型的甲亢加作甲状腺摄碘试验,其结果均显示摄碘率增高,且高峰前移。典型的甲亢临床表现以女性居多,男性较少。 1.2具体资料(见附表)
Male hyperthyroidism (hyperthyroidism) than the incidence of hyperthyroidism in women is low, and the symptoms are often atypical, it is sometimes difficult to diagnose. In order to improve the understanding of the characteristics of male hyperthyroidism, to avoid misdiagnosis, missed diagnosis, we have confirmed the past 3 years 33 cases of hyperthyroidism in men and women with hyperthyroidism in the same period 102 cases were controlled analysis, are reported below. 1 Clinical data 1.1 General information Hyperthyroidism in 135 patients, 33 males, aged (40.3 ± 17.2) years, duration of 6 months to 1.5 years, 102 females, aged 38.5 ± 19.7 years, duration of 3 months to 1.2 years . Before treatment, all patients received thyroid function test, the results showed that the free triiodothyronine (FT_3), free thyroxine (FT_4) levels were significantly higher than the normal range, thyroid stimulating hormone (TSH) levels in the normal range Low limit. For atypical hyperthyroidism plus thyroid uptake of iodine test, the results showed that iodine uptake rate, and the peak forward. The typical clinical manifestations of hyperthyroidism mostly women, fewer men. 1.2 Specific information (see attached table)