为筛查混淆于 2型糖尿病中的成人隐匿性自身免疫性糖尿病 (LADA) ,作者对 76例初诊为 2型糖尿病患者进行胰岛细胞自身抗体 (ICA)和抗谷氨酸脱羧酶抗体 (GAD -Ab)检测 ,并同时检测 10名正常人与 10例慢性淋巴细胞性甲状腺炎患者作为对照。结果对照组中无 1例阳性 ,糖尿病组中ICA阳性者 7例 ,GAD -Ab阳性者 9例 ,其中ICA和GAD -Ab都阳性者 4例 ,提示存在着LADA病患者 To screen for latent occlusive autoimmune diabetes (LADA) in adults with type 2 diabetes, 76 patients with newly diagnosed type 2 diabetes were tested for islet cell autoantibodies (ICA) and anti - glutamic acid decarboxylase antibodies (GAD - Ab) test, and simultaneously detected 10 normal subjects and 10 patients with chronic lymphocytic thyroiditis as a control. Results None of the patients in the control group had positive ICA-positive in the diabetic group, 7 in the ICA-positive group and 9 in the GAD-Ab positive group, of which 4 were positive for both ICA and GAD-Ab, suggesting that patients with LADA