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目的 通过对原发性甲状腺功能减退症的病因分析 ,以期为特发性甲减病人的早期诊断提供帮助。方法 我们收集了 1 978～ 1 998年 7月住院的 1 3 4例原发性甲减病人的临床资料 ,对其临床表现及病因进行分析。结果 1 3 4例原发性甲减中慢性淋巴性甲状腺炎 4 3例 ( 3 2 .0 9% ) ,原因不明者 (特发性 ) 64例 ( 47.76% )。特发性甲减多发生于 4 0岁以上女性病人。结论 对于女性病人尤其年龄在 4 0岁以上者 ,要注意除外甲减 ,以早期诊断 ,早期治疗。
Objective To analyze the etiology of primary hypothyroidism in order to provide assistance for the early diagnosis of idiopathic hypothyroidism. Methods We collected clinical data of 134 patients with primary hypothyroidism who were hospitalized from July 1978 to July 1998 and analyzed their clinical manifestations and causes. Results A total of 134 cases of primary hypothyroidism with chronic lymphocytic thyroiditis (42.9%) and 64 cases (47.76%) of unknown causes (idiopathic) were included in this study. Idiopathic hypothyroidism occurred in more than 40 years of age female patients. Conclusion For female patients, especially those over 40 years of age, we should pay attention to hypothyroidism, early diagnosis and early treatment.