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儿童甲状腺毒症病因及临床特征分析

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目的 分析儿童甲状腺毒症病因及临床特征。方法 选取我院2016 年1 月至2022 年 3月就诊的65 例甲状腺毒症患儿,按照病因将其分为Graves病(GD)患儿及非GD患儿,收集患儿的病史资料,分析疾病的临床特征。结果 65 例甲状腺毒症患儿中,GD 57 例(87。69%),非GD8 例(12。31%)。GD与非GD患儿的年龄、青春期、男生、发热、甲状腺疼痛、促甲状腺激素(TSH)、游离甲状腺素(FT4)、游离三碘甲状腺原氨酸(FT3)、四碘甲状腺原氨酸(T4)、三碘甲状腺原氨酸(T3)、促甲状腺素受体抗体(TRAb)阳性、甲状腺弥漫性肿大、超敏C反应蛋白(hs-CRP)增高占比比较,差异具有统计学意义(P<0。05)。结论 儿童甲状腺毒症病因复杂,部分临床特征对于GD与非GD的鉴别诊断具有一定价值。
Analysis of etiology and clinical characteristics of thyrotoxicosis in children
Objective To analyze the etiology and clinical characteristics of thyrotoxicosis in children.Methods Sixty-five children with thyrotoxicosis who were treated in our hospital from January 2016 to March 2022 were selected and divided into Graves'disease(GD)children and non-GD children according to the etiology.The medical history data of the children were collected and the clinical characteristics of the disease were analyzed.Results Among the 65 children with thyrotoxicosis,57 cases(87.69%)were GD and 8 cases(12.31%)were non-GD.There were statistically significant differences in the age,proportion of puberty,male,fever,thyroid pain,thyroid stimulating hormone(TSH),free thyroxine(FT4),free triiodothyronine(FT3),tetraiodothyronine(T4),triiodothyronine(T3),positive thyrotrophin receptor antibody(TRAb),diffuse goiter enlargement and increased high-sensitive C-reactive protein(hs-CRP)between GD and non-GD children(P<0.05).Conclusion The etiology of thyrotoxicosis in children is complex,and some clinical features have certain value for the differential diagnosis of GD and non-GD.

childrenthyrotoxicosisGraves'disease

常捷、朱如源、刘晓静

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安徽医科大学第一附属医院儿科,安徽 合肥,230022

儿童 甲状腺毒症 Graves病

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(25)