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目的:了解淡漠型甲亢的临床表现和诊断特点。方法:分析14例淡漠型甲亢的临床表现、心电图特点、实验室检查、确定淡漠型甲亢的诊断方法。结果:心电图显示房性心律失常为主,以消瘦、心悸、恶心、乏力神经质或淡漠为主要表现,甲状腺激素测定示FT3、FT4升高,TSH降低,甲状腺自身刺激抗体阳性。结论:老年人以消瘦、心悸、恶心、乏力、神经质或淡漠为主要临床表现,心电图示房性心律失常,应高度考虑淡漠型甲亢,甲状腺激素测定和甲状腺自身抗体测定是确诊的必要诊断依据。
Objective: To understand the clinical manifestations and diagnostic features of indolent hyperthyroidism. Methods: 14 cases of indolent hyperthyroidism clinical manifestations, ECG characteristics, laboratory tests to determine the diagnosis of indolent hyperthyroidism. Results: ECG showed atrial arrhythmia mainly to weight loss, palpitations, nausea, fatigue, nervousness or indifference as the main performance, thyroid hormone test showed FT3, FT4 increased TSH decreased thyroid self-stimulation of antibody-positive. Conclusion: The elderly with weight loss, palpitations, nausea, fatigue, nervousness or indifference as the main clinical manifestations of ECG arrhythmia, should be highly considered indifferent hyperthyroidism, thyroid hormone and thyroid autoantibodies are the necessary diagnostic basis for the diagnosis.