论文部分内容阅读
笔者观察并治疗7名患者由于用避孕药物所致甲状腺功能改变,报告分析如下。 1 一般资料:7例均为女患,年龄24～26岁,平均29岁。用药时间3mo～6.17a(年),均服用口服避孕片1号。临床表现:颈部增粗伴疼痛7例,出汗5例,阵发性心慌4例,易怒3例。检查:双甲状腺均Ⅰ—Ⅱ°弥漫性肿大,压痛(+),表面光滑,心率不快。辅助检查:血中T_3、T_4测定,4例患者正常,1例略增高T_3 2.5ng/ml,T_4160ng/ml,2例略低分别为T_3 0.8ng/ml,T_4 30ng/ml,T_3 0.7ng/ml,T_4 30ng/ml。~(131)I有2例略低于正常,3h分别为19％、20％,24h分别为30％、32％,5例略高于正常,
The author observed and treated 7 patients due to contraceptives caused by thyroid function changes, the report analyzed as follows. 1 General Information: 7 cases were female patients, aged 24 to 26 years, mean 29 years. Medication time 3mo ~ 6.17a (years), taking oral contraceptive tablets on the 1st. Clinical manifestations: neck thickening with pain in 7 cases, sweating in 5 cases, 4 cases of paroxysmal palpitation, irritability in 3 cases. Check: double thyroid I-Ⅱ ° diffuse swelling, tenderness (+), the surface smooth, unpleasant heart rate. Auxiliary examination: blood T_3, T_4 determination, 4 patients were normal, a slightly elevated T_3 2.5ng / ml, T_4160ng / ml, 2 patients were slightly lower T_3 0.8ng / ml, T_4 30ng / ml, T_3 0.7ng / ml, T_4 30ng / ml. There were two cases of ~ (131) I in 2 cases, which were slightly lower than normal, 3 hours were 19%, 20%, 24h were 30%, 32%, 5 cases slightly higher than normal,