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患者女,48岁。因焦虑不安、情绪抑郁、呆坐不语、幻听、幻视、自罪,诊为“精神分裂症”,经对症治疗半年后,上述症状无明显好转,且出现怕冷、无汗、食欲下降、腹胀、便秘、声音嘶哑。转上级医院诊治,体检:T36.2℃,P60次/分,R20次/分,BPl8/18kPa,面色苍黄,颜面浮肿,头发稀疏,吐词缓慢,皮肤干燥粗厚,甲状腺不大,两肺听诊正常,心率62次/分,律齐,心音低弱,神经系统检查正常。实验室检查及其他辅助检查:血红蛋白90g/L,白细胞数7.8×10~9/L,中性0.60,淋巴0.38。单核0.02,大小便常规正常,血电解质及肝、肾功能均正常,血TT_30.28nmol/L(正常0.64～3.67nmol/L),血TT_411.61 nmol/L(正常46.44～180.6nmol/
Female patient, 48 years old. Due to anxiety, depression, sat in silence, auditory hallucinations, visual hallucinations, since the sin, diagnosed as “schizophrenia”, after symptomatic treatment for six months, the symptoms did not change significantly, and appear cold, no sweat, appetite Decline, bloating, constipation, hoarseness. Go to the higher level hospital for treatment, physical examination: T36.2 ℃, P60 / min, R20 beats / min, BPl8 / 18kPa, pale yellow, facial edema, thinning hair, spit slowly, thick dry skin, thyroid is not large, Auscultation normal heart rate 62 beats / min, law Qi, low heart sound, nervous system examination is normal. Laboratory tests and other laboratory examinations: hemoglobin 90g / L, white blood cell count 7.8 × 10 ~ 9 / L, neutral 0.60, lymph 0.38. Mononuclear 0.02, normal urine and normal blood, normal blood electrolytes and liver and kidney function, blood TT_30.28nmol / L (normal 0.64 ~ 3.67nmol / L), blood TT_411.61nmol / L (normal 46.44 ~ 180.6nmol /