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患者男,68岁,已婚,退休工人,于1983年9月4日入院。1966年起出现多尿、多饮、多食伴消瘦,查空腹血糖为320mg/dl,尿糖+++,胰岛素释放试验:空腹及口服葡萄糖后30、60、120、180min分别为2、2、5、6及11μu/ml,确诊为糖尿病。用饮食控制及胰岛素治疗,血糖维持在150mg/dl左右。1979年初感声音嘶哑,颈部发现肿块,无发热、浮肿,甲状腺~(131)I摄取率:3h 11％,24 h 14％,甲状腺扫描示右叶“冷结节”,血清三碘甲状腺原氨酸(T_3)<0.1ng/ml,甲状腺素(T_4)1.6μg/dl,促甲状腺激素
The male patient, 68 years old, married and retired, was admitted to hospital on September 4, 1983. Polyuria, polydipsia, polydipsia, and weight loss occurred in 1966. The fasting blood glucose was 320 mg/dL, urine glucose +++, insulin release test: 30, 60, 120, and 180 min after fasting and oral glucose were 2, 2 , 5, 6 and 11 μg/ml, diagnosed as diabetes. With diet control and insulin treatment, blood glucose was maintained at around 150 mg/dl. At the beginning of 1979, a hoarse voice was heard, a mass was found in the neck, no fever, and edema. Thyroid ~ (131) I uptake rate: 3h 11%, 24 h 14%, thyroid scan showed the right leaf “cold nodules”, serum triiodothyronine Acid (T_3) <0.1ng/ml, thyroxine (T_4) 1.6μg/dl, thyrotropin