糖尿病合并甲状腺功能亢进症21例临床分析

Clinical analysis of diabetes combined with hyperthyrodism 21 cases

目的探讨糖尿病合并甲状腺功能亢进症（甲亢）的临床特点和诊疗方法。方法回顾性分析21例糖尿病合并甲亢患者的临床资料，其中2型糖尿病14例，1型糖尿病6例，成人迟发性自身免疫性糖尿病1例。所有患者均进行饮食控制及药物治疗。结果21例患者中，1例2型糖尿病合并甲亢者死亡，其余20例经治疗后血糖不同程度下降（空腹血糖下降2—6mmol／L，餐后血糖下降5—14mmol／L）；6例1型糖尿病合并甲亢治疗后血糖控制较治疗前明显好转（空腹血糖下降3～6mmol／L，餐后血糖下降7～15mmol／L）；1例成人迟发性自身免疫性糖尿病合并甲亢患者血糖、高代谢的症状亦得到良好的控制。结论糖尿病合并甲亢临床表现为多样性、不典型性及非特异性，我们要综合分析病史，明确诊断，兼顾治疗。

Objective To investigate the clinical characteristics of diabetes combined hypcrthyrodism.. Methods Looking back 21 cases＇ clinical datas of diabetes combined hyperthyrodism. Results The diabetes combined hyperthyroidism have a high rate of missed diagnosis or disdiagnosis （ type 1 diabetes mellitus combined hyperthyrodism ,66.7% ;type 2 diabetes mellitus combined hyper＇thyrodism, 21.4% ）. When it is coexistence of the two diseases, one of both can contribute to the other＇s progress of pathogenetic condition. At first, the patient＇s conditions of the people were bad, especially the one who were diagnosed wrongly. After diagnosed and treated correctly, they were amelioted more or less. Conclusion It＇s necessary for us to pay attention to coexistence of the two diseases, to decrease the rate of missed diagnosise and misdiagnose and direct treatment.