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患者,女,35岁。20年来反复手足搐搦,持续时间长短不一,发作较剧时全身不能支持,晕倒在地,但无意识障碍,二便可控,病后在它院门诊,经检查考虑癫痫发作,经服安定,鲁米那,扑痫酮治疗后上述现象时好时发,症状不能控制。3年前视力逐渐低下,眼科检查发现二眼白内障,经手术后视力改善,今年3月来本院门诊。既往无头颅外伤、颈部甲状腺手术史及肾病史。足月顺产、家族中无类似癫痫发病史。 查体:二手指关节略肿胀,其它无异常发现。血压17/10kPa,辅助检查:T_32.1nmol/L,T_4112nmol/L,γT_30.5nmol/L,TSH6mu/L,FT_38.15pmol/L,FT_421,
Patient, female, 35 years old. Repeated tetany over the past 20 years, the duration of varying lengths, episodes of drama than the whole body can not support, collapsed to the ground, but unconsciousness, the second will be controllable, in the hospital after the illness, after checking to consider seizures, the service stability , Luminal, epilepsy ketone treatment of the above-mentioned phenomenon when the time is good, the symptoms can not be controlled. 3 years ago, gradually low vision, eye examination found two cataracts, visual acuity improved after surgery in March this year, outpatient clinic. No prior craniocerebral trauma, neck surgery history and history of kidney disease. Full-term spontaneous delivery, the family history of similar epilepsy. Physical examination: second hand slightly swollen joints, no other abnormal findings. Blood pressure 17 / 10kPa, auxiliary examination: T_32.1nmol / L, T_4112nmol / L, γT_30.5nmol / L, TSH6mu / L, FT_38.15pmol / L, FT_421,