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王某某,女,46岁,以复发性颈部包块、乏力7个月、心慌、头晕1d 为主诉于1987年5月26日入院。1986年10月16日曾以吞咽不适、颈部包块、乏力、食欲不振两周为主诉在西安医科大学第一附属医院就诊。查体见左侧甲状腺1.5cm×1.5cm 结节,随吞咽上下活动压痛;心率80次/min;ESR115mm/h;食道钡透末见异常;B 超提示甲状腺节结;T_3、T_4正常,微粒体抗体(+);甲状腺球蛋白抗体(+);甲状腺Ⅰ~(131)功能过低,随以亚甲炎收住院4周,服地塞米松1.5mg,Tid。甲状腺结节消失,精神食欲正常,于1986年11月18日出院,出院后仍口服地塞米松,渐减量至停
Wang Moumou, female, 46 years old, with recurrent neck mass, fatigue for 7 months, palpitation, dizziness 1d-based complaint was admitted on May 26, 1987. October 16, 1986 once swallowing discomfort, neck mass, fatigue, loss of appetite for two weeks as the chief complaint at the First Affiliated Hospital of Xi’an Medical University. See the left thyroid 1.5cm × 1.5cm nodules, tenderness with the swallowing up and down activity; heart rate 80 beats / min; ESR115mm / h; esophageal barium see the end of abnormal; B-thyroid nodules; T_3, T_4 normal, (+); Thyroglobulin antibody (+); Thyroid Ⅰ ~ (131) function is too low, with arthritis admitted to hospital for 4 weeks, taking dexamethasone 1.5mg, Tid. Thyroid nodules disappear, the normal appetite, was discharged on November 18, 1986, was discharged after oral dexamethasone, decreasing to the stop