小儿先天性甲状腺功能减低症 32 例临床分析

目的：总结分析新疆博尔塔拉州医院5年来开展新生儿先天性甲状腺功能减低症筛查和诊断治疗情况。方法：以婴幼儿为研究对象，在出生72h后采足跟血，检测滤纸标本中促甲状腺激素含量。筛查阳性者，以静脉血血清标本复查TSH、T3、T4确诊。结果：5年共筛查9478例，其中确诊为CH者32例，发病率为0．338‰。死亡者1例，失访者1例，体格发育及智力水平明显落后者4例，余下体格及智力发育均正常者26例。结论：该病筛查是早期诊断的最佳方法，采取早期诊断和治疗能有效地防止患儿的智力和体格发育低下，提高国民素质。

32 Children with Congenital Hypothyroidism Reduction in Clinical Analysis

Objective： To summary and analyze the Xinjiang Bortala hospital for 5 years to cairry out the congenital hypothyroidism neonates reduction treatment in screening and diagnosis.Method： In infants and young children as the research objects, born in 72 h after collecting heel blood, TSH content filter paper specimens were detected.Screening positive; with venous blood serum specimens review TSH, T3, T4 were confirmed.Result： A total of 5 years of screening of 9478 people, of which 32 cases were diagnosed as CH, the incidence rate was 0.338 per thousand.One patient died, 1 was lost to follow-up, 4 cases of body development and intelligence levels significantly behind, more than 26 cases of physical and mental development were normal.Conclusion： The disease screening is the best way to early diagnosis, early diagnosis and treatment can effectively prevent children with low intelligence and physical development, improve the quality of the people.