CAJ | 학술논문

目的：探究重症肌无力合并甲状腺功能亢进的临床特点。方法：回顾分析2009年3月-2014年4月到我院神经科治疗重症肌无力且同时伴有甲状腺功能亢进的41例患者的相关检测和治疗情况，采用相关计算机软件进行记录、统计和分析，作出数据对比。结果：检测患者血清乙酰胆碱受体抗体，39例阳性，P/N≥2.0；采用放射免疫分析法检查患者三碘甲状腺原氨酸(T3)、甲状腺球蛋白抗体(TGAb)、甲状腺素(T4)和抗甲状腺微粒抗体(TMAb)，4种指标均高于正常值；术前胸部进行C T检查，结果显示：胸腺增生11例、胸腺瘤2例、胸腺未见异常者3例。结论：重症肌无力常合并其它自身免疫性疾病，特别是甲状腺功能亢进症、胸腺增生等，疾病间的相关性还有待进一步研究。
목적：탐구중증기무력합병갑상선공능항진적림상특점。방법：회고분석2009년3월-2014년4월도아원신경과치료중증기무력차동시반유갑상선공능항진적41례환자적상관검측화치료정황，채용상관계산궤연건진행기록、통계화분석，작출수거대비。결과：검측환자혈청을선담감수체항체，39례양성，P/N≥2.0；채용방사면역분석법검사환자삼전갑상선원안산(T3)、갑상선구단백항체(TGAb)、갑상선소(T4)화항갑상선미립항체(TMAb)，4충지표균고우정상치；술전흉부진행C T검사，결과현시：흉선증생11례、흉선류2례、흉선미견이상자3례。결론：중증기무력상합병기타자신면역성질병，특별시갑상선공능항진증、흉선증생등，질병간적상관성환유대진일보연구。
Objective: Myasthenia Gravis explore the clinical features of hyperthyroidism.Methods: Retrospective analysis of correlation detection and treatment in June 2009 -2014 April to hospital neurology treatment of myasthenia gravis and hyperthyroidism accompanied by 41 patients, Using the relevant computer software for recording, Statistics and analysis, making data comparison. Results: Detection of serum acetylcholine receptor antibodies, 39 cases of positive,P / N ≥ 2.0; using radioimmunoassay check the patient three tri odothyronine (T3), Thyroglobulin antibody (TGAb), Thyroxine (T4) and anti-thyroid microsomal antibodies (TMAb), Four kinds of indicators are higher than normal; Preoperative chest CT examination, The results showed that: thymic hyperplasia in 11 cases, 2 cases of thymoma, thymic abnormalities seen in 3 patients. Conclusion: Myasthenia gravis is often associated with other autoimmune diseases, Remains to be further studied the correlation between the disease.