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患儿,女性,生于1980年10月,满月后因嗜睡伴喂养困难就诊。一般检查,少哭少动多睡,哭声低,哺乳呛咳,纳差,皮肤干燥,体温低。身长48.4cm,体重3.4kg,肝肋下2.3cm。曾诊断脑性瘫痪,营养不良和贫血。治疗月余无效。后疑诊甲状腺功能低下(甲低)而转来我科做核医学检查。核医学检查结果:TT3 1.5nmol/L(正常值1.2~3.3nmol/L),TT4 25.8nmol/L(正常值51.6~174nmol/L),TSH>10μIU/ml(正常值<10μIU/ml)。甲状腺~(99m)Tc-γ照相提示甲状腺缺如。最后诊断:甲状
Children, women, was born in October 1980, full moon feeding due to drowsiness with treatment. General examination, less cry less move more sleep, cry low, breastfeeding cough, anorexia, dry skin, low body temperature. Body length 48.4cm, weight 3.4kg, hepatic ribs 2.3cm. Have diagnosed cerebral palsy, malnutrition and anemia. I month treatment is invalid. After the diagnosis of hypothyroidism (hypothyroidism) and transferred to our department for nuclear medicine. Nuclear medicine test results: TT3 1.5nmol / L (normal 1.2 ~ 3.3nmol / L), TT4 25.8nmol / L (normal 51.6 ~ 174nmol / L), TSH> 10μIU / ml (normal <10μIU / ml). Thyroid ~ (99m) Tc-γ photographic evidence of thyroid absence. The final diagnosis: thyroid