论文部分内容阅读
甲状腺机能亢进症可在血清甲状腺素(以下简称T_4)浓度正常的情况下由血清三碘甲状腺原氨酸(以下简称T_3)增高引起。26例中有12例是毒性结节性甲状腺肿。最典型者是单个高功能性结节,但亦有多结节性甲状腺肿者。7例见于典型的毒性弥漫性甲状腺肿,其中两例有典型的浸润性眼病(infiltrative ophthalmopathy)。当临床及化验发现高代谢状态(hypermetabolism),血清T_4正常,甲状腺素结合球旦白(TBG)无异常,应怀疑T_3型甲状腺机能亢进症(T_3-throtoxicosis)在普及T_3测定前,建议用T_3抑制试验筛选,不论初始的24小时甲状腺吸~(131)碘值高或低。
Hyperthyroidism can be caused by the increase of serum triiodothyronine (hereinafter referred to as T_3) under the condition that serum thyroxine (hereinafter referred to as T_4) is normal in concentration. Twenty-six of the 26 patients were toxic nodular goiter. The most typical is a single high-functioning nodules, but there are also multiple nodular goiter. Seven cases were found in typical toxic diffuse goiter, two of which had typical infiltrative ophthalmopathy. When clinical and laboratory tests found hypermetabolism, normal serum T 4, and normal thyroxine combined with globulin (TBG), T 3 -thromotosis should be suspected before T_3 prevalence Inhibition of test screening, regardless of the initial 24 hours of thyroid suction ~ (131) iodine value is high or low.