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男 58岁 病志号172666。15年前因甲状腺机能亢进症作甲状腺次全切除术。术后5年确诊为甲状腺机能减退,服用甲状腺素片替代治疗至今。近一个月,日服360mg,20天来间断性心前区疼痛,转为持续疼痛5小时后入院。查体:P72次/分Bpl8.62/10.62Kpa。上眼睑及颊部浮肿,心音低钝,肺腹无异常,双下肢无浮肿。血:WBC10.3×10~9/L,S84％,L14％,St2％;Hgb66g/L。心肌酶谱:CPK 477IU/L。LDL241Iu/L,AST 63Iu/L,ALT13Iu/L。心电图:S—Tv_(1-3)弓背向上抬高0.2～0.4mv,Tv_(1-3)高耸与S—T呈单向曲线。入院后连续观察心电图及心肌酶谱符合急性前、间壁
Male 58-year-old patient number 172666. 15 years ago due to hyperthyroidism for subtotal thyroidectomy. 5 years after diagnosis of hypothyroidism, taking thyroid hormone replacement therapy so far. Nearly a month, the Japanese service 360mg, 20 days to intermittent pre-cardiac pain, into continuous pain 5 hours after admission. Physical examination: P72 times / min Bpl8.62 / 10.62Kpa. On the eyelid and cheek edema, low heart sound blunt, lung abdomen without exception, no swelling of both lower extremities. Blood: WBC10.3 × 10 ~ 9 / L, S84%, L14%, St2%; Hgb66g / L. Myocardial enzymes: CPK 477IU / L. LDL241Iu / L, AST 63Iu / L, ALT13Iu / L. ECG: S-Tv_ (1-3) bow raised upward 0.2 ~ 0.4mv, Tv_ (1-3) towering and S-T showed a one-way curve. Continuous observation after admission, ECG and myocardial enzymes in line with acute anterior, dilated