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作 者:杨英奎[1] 宋喜坤[1] 卢倜章[2] 汤特[2] 禹更生 赵大猷[2] 马泰[2]
机构地区:[1]山东省地方病防治研究所 [2]天津医学院内分泌研究所
出 处:《中国地方病防治》1991年第3期142-145,共4页Chinese Journal of Control of Endemic Diseases
摘 要:本文对黄河流域三角洲的高碘甲亢与非高碘地区传统的甲亢进行了比较研究。结果表明:高碘地区患病率明显高于非病区;高碘甲亢临床症状较轻,与体征相一致,未见突眼和甲状腺杂音;TT_3、TT_4 rT_3值较低,而FT_3及Tg值均高,提示FT_3升高可做为诊断碘致甲亢的有用指标。考虑两者的发病机制可有所不同。A study was made on the Jod-Basedow's disease in the delta of the yellow river by comparison with the classic one in non-iodine excessarea. It indicates that the attack rate among inhabitants in iodine excess area is visibly higher and the clinical symptoms are milder and compatible with the signs.The murmur of the thyroid gland was not found in these cases as well as the exophfhlmas. It is revealed that the serum TT_3 TT_4 and rT_3 were significantly lower while serum FT_3 and Tg were higher. Therefore, we postulate that FT_3 might be an useful diagnostic criterion of Jod-Basedow's disease in iodine excess regions and consider that the pathogeneses between the two entities may be different.
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