论文部分内容阅读
患者女性,35岁.心悸、乏力、消瘦、多汗、多食、性情急躁、手足颤抖、甲状腺肿大5个月,于1987年12月2日入院.入院时检查:突眼,双侧甲状腺弥漫性Ⅲ度肿大,有血管震颤,心率120次/分,T_311.04nmol/L,T_4>312nmol/L,~(131)Ⅰ摄取率3小时42%、24小时82%,高峰前移.诊断为弥漫性甲状腺肿伴甲亢.服他巴唑、心得安、卢戈氏液作术前准备后,行双侧甲状腺次全切除术.术后病理报告:双侧弥漫性毒性甲状腺肿,右叶乳头状腺癌.术后服甲状腺素片,随访至今无异常.
Patient female, 35 years old. Palpitations, fatigue, weight loss, sweating, eating, impatience, trembling hands and feet, goiter for 5 months, admitted on December 2, 1987. Admission examination: exophthalmos, bilateral thyroid Diffuse Ⅲ degree enlargement, vasomotor, heart rate 120 beats / min, T_311.04nmol / L, T_4> 312nmol / L, 131I uptake rate of 3 hours 42%, 24 hours 82%, the peak forward. Diagnosed as diffuse goiter with hyperthyroidism.Of methimazole, propranolol, Lugol’s solution for preoperative preparation, bilateral subtotal thyroidectomy.Postoperative pathology report: bilateral diffuse toxic goiter, right Leaf papillary adenocarcinoma postoperative thyroxine tablets, no abnormalities were followed up.