糖尿病与甲状腺功能亢进症并存32例临床分析

Diabetes and hyperthyroidism. Clinical analysis of 32 cases

目的：探讨糖尿病与甲状腺功能亢进症（简称甲亢）共存的临床表现、诊断及治疗方法。方法：对32例糖尿病与甲状腺功能亢进共存患者的临床特点进行回顾性分析。结果32例患者中甲亢合并糖尿病的有23例（占71．8％），糖尿痛合并甲亢的有4例（占12．5％），两者同时发现者5例（占3．5．6％），两者共同治疗后，症状明显好转，血糖及甲状腺激素均恢复正常；26例窦性心动过速患者心电图恢复正常；4例频发室性早搏、2例房颤得到纠正。结论：应加强对糖尿病与甲亢并存特点的认识，及时诊断、治疗。

Objective： To investigate the effect of diabetes and hyperthyroidism （referred to as hyperthyroidism） clinical manifestations, diagnosis and treatment of two diseases coexist. Methods： a retrospective analysis was made on the clinical features of 32 cases of diabetes and hyperthyroidism coexist-ent patients. Results in 32 cases of hyperthyroidism complicated with diabetes in 23 cases （71.8%）, 4 cases of diabetes mellitus complicated with hyper- thyroidism （12.5%）, 5 cases of the two diseases also found （15.6%）, two diseases after treatment, symptoms improved obviously, blood glucose and thyroid hormones were normal; 26 cases of sinus heartbeat a electrocardiogram in normal~ 4 cases of frequent ventricular premature beat, 2 cases of atrial fibrillation are corrected. Conclusion： understanding of diabetes and hyperthyroidism should strengthen the coexistence of the two diseases characteristics, diagnosis, treatment.