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1985年12月,湖南省卫生防疫站地方病科用滤纸血斑法筛查婴幼儿地方性克汀病,发现桃源县观音寺乡肖家坪村有一例血清T_4低于正常值的幼儿。随后进一步对其血清T_4、TSH进行了测定,考虑为地方性克汀病。为了确诊,1986年3月又对病人进行了有关的检查,现将结果报告如下: 一、患者家庭情况 患者父亲,29岁,健康,智力正常,无甲状腺肿,祖籍沅陵县;患者母亲,健康,智力一般,甲状腺正常,婚前为本县东阳(氵七)乡人。家族中无类似病例,否认近亲结婚,据其母回忆,婚后家中吃的是粗盐,怀孕后未注射碘油。妊娠约一月时,由于呕吐、恶心,服过三付中药(药名不详),服后好转。未服过其他药物。
December 1985, Department of Endemic Diseases, Hunan Provincial Health and Anti-epidemic Station with filter paper blood spot method for screening infant cretinism, and found that there is a case of serum T_4 lower than normal in Xiaojiaoping Village, Guanyin Temple, Taoyuan County. Then further determination of its serum T_4, TSH, considered as local cretinism. In order to confirm the diagnosis, the patient was examined again in March 1986. The results are reported as follows: 1. The patient’s family situation The patient’s father, 29 years old, with normal health and intelligence, has no goiter. His ancestral home was Yuanling County. Health, intelligence, thyroid normal, premarital County Dongyang (氵 seven) townspeople. Family no similar cases, denied the marriage of close relatives, according to their mother memories, married at home to eat coarse salt, not injected after pregnancy lipiodol. About one month of pregnancy, due to vomiting, nausea, served three times to pay Chinese medicine (drug name unknown), after serving improved. Did not take other drugs.