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呼某,女,53岁,蒙族。患者2年前发现颈部弥漫性肿大,伴心慌、气短、多食、易饥,身体消瘦,四肢乏力。震颤。门诊确诊为原发性甲亢,服用他巴唑、心得安治疗43天,症状改善,于1989年2月14日入院治疗,既往健康。体检:体温36.4℃,脉博88,呼吸24,血压17/12kPa。外貌消瘦,突眼、额头可见细汗,颈部呈弥漫性肿大,无血管杂音,心肺(-),肝脾未及,肠鸣音正常。脊柱、四肢正常。辅助检查:血、尿、便常规均正常。T_37.3ng/ml,T_4>320ng/ml。声带检查:喉部声带无充血、无分泌物及肥厚。X线胸正位片,心电图及
Call a, female, 53 years old, Mongolian. 2 years ago, patients found diffuse neck enlargement, with palpitation, shortness of breath, eat more, easy to hunger, wasting, limb weakness. Tremor. Outpatient diagnosis of primary hyperthyroidism, taking methimazole, propranolol treatment for 43 days, the symptoms improved in February 14, 1989 admitted to hospital, past health. Physical examination: body temperature 36.4 ℃, pulse Bo 88, breathing 24, blood pressure 17 / 12kPa. Appearance thin, exophthalmos, visible sweat forehead, neck was diffuse swollen, no vascular murmur, cardiopulmonary (-), liver and spleen not, bowel sounds normal. Spine, limbs normal. Auxiliary examination: blood, urine, they are routinely normal. T_37.3ng / ml, T_4> 320ng / ml. Vocal cord examination: vocal cord throat without congestion, no secretions and hypertrophy. X-ray anteroposterior film, ECG and