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本科自1980年9月～1985年8月测定血清T_3、T_4共6700例,其中由非甲状腺疾病引起的血清T_4降低属低T_3综合征者21例,占0.3％,现报道如下。 临床资料 本组21例患者,男12例,女9例,年龄14～80岁。诊断为恶性肿瘤9例(肺癌4例,胰腺癌1例,贲门癌1例,结肠癌1例,直肠癌1例,鼻咽癌1例);糖皮质类固醇治疗4例(皮肌炎2例,系统性红斑狼疮1例,糖皮质类固醇撤药综合征1例);慢性肾功能衰竭2例;糖尿病2例;心力衰竭2例(风湿性心脏病1例,肺源性心脏病1例);肝硬化1例;神经性厌食1例。血清T_3、T_4、rT_5和TSH测定均采用
Undergraduate from September 1980 to August 1985 measured serum T_3, T_4 a total of 6700 cases, of which caused by non-thyroid disease serum T_4 low T_3 syndrome in 21 cases, accounting for 0.3%, are reported below. Clinical data 21 patients in this group, 12 males and 9 females, aged 14 to 80 years. Nine cases were diagnosed as malignant tumors (4 cases of lung cancer, 1 case of pancreatic cancer, 1 case of cardia cancer, 1 case of colon cancer, 1 case of rectal cancer and 1 case of nasopharyngeal carcinoma); 4 cases of glucocorticoid treatment (2 cases of dermatomyositis , 1 case of systemic lupus erythematosus, 1 case of corticosteroid withdrawal syndrome), 2 cases of chronic renal failure, 2 cases of diabetes, 2 cases of heart failure (1 case of rheumatic heart disease and 1 case of pulmonary heart disease) 1 case of cirrhosis and 1 case of anorexia nervosa. Serum T_3, T_4, rT_5 and TSH were used