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大多数教科书指出,几乎所有甲亢患者都有甲状腺肿大。仅有个别报道,约有12～20%的老年甲亢患者未触及肿大的甲状腺。本文回顾了作者所在的医院1970～1982年12年间594例甲亢病人(女性483例,男性111例),其中甲状腺弥漫性肿大者374例(63%),结节性肿大者110例(19%),未触及肿大者96例(16%),另有14例(2%)无记录。40岁以下患者甲状腺弥漫性肿大最为常见,占该年龄组的86%(207/240),未触及甲状腺肿大的仅占7%
Most textbooks point out that almost all patients with hyperthyroidism have goiter. Only a few reports, about 12 to 20% of elderly patients with hyperthyroidism did not touch the enlarged thyroid. This article reviews 594 patients with hyperthyroidism (483 women and 111 men) in the author’s hospital during the 12-year period from 1970 to 1982, of which 374 (63%) had diffuse thyroid enlargement, 110 had nodular enlargement 19%), 96 cases (16%) had no palpable enlargement, and 14 cases (2%) had no record. Diffuse thyroid enlargement is most common in patients under 40 years of age, accounting for 86% (207/240) of this age group and only 7% of those without thyroid enlargement