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本文对517例甲状腺机能亢进症进行回顾性分析。结果提示:除甲肿及突眼外,多系统表现至少包括神经兴奋性增高、心悸、心动过速、代谢亢进;~(131)I吸收率及TT_3测定值对甲亢的诊断符合率达98.4％,较TT_4测定值灵敏。TT_3及TT_4同时测定不易漏诊;合理用抗甲状腺药物治疗者痊愈率达72％,欠合理者为44.4％(P<0.001)。以三周抑制试验结果判断病情是否痊愈作为停药指标,其价值尚难定论。
In this paper, 517 cases of hyperthyroidism were retrospectively analyzed. The results suggest that in addition to the swelling and exophthalmos, the multi-system performance includes at least increased nerve excitability, palpitations, tachycardia and hypermetabolism. The coincidence rate of ~ (131) I absorption and TT_3 determination of hyperthyroidism is 98.4% , Which is more sensitive than TT_4. TT_3 and TT_4 were not easily misdiagnosed at the same time. The cure rate of anti-thyroid drugs was 72% and 44.4% (P <0.001). Three weeks to suppress the test results to determine whether the condition is cured as an index of withdrawal, its value is not conclusive.