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患者,女性,33岁.20余天前出现恶心、呕吐, 伴乏力、纳差、腹胀,于1997年4月2日入院,平素月经正常,孕1产1.末次月经淋漓不尽,无异物排出.未采取避孕措施.体检:T36.8C,P84次/分、Bp14/8kPa,双眼轻度突出,目光有神,眼征(一).甲状腺1°肿大,质软,甲状腺血管杂音(一).心肺听诊无异常,腹软,全腹轻度隆起,肝脾不大,脐下3横指处可触及14×12cm大小包块,质韧,无触压痛,双手平举试验阴性.实验室及影像学检查:血T_33.44nmol/L,T_4 347.6nmol/L,TSH3.6mU/L(本院正常参考值T_3 0.9～2.2ng/ml,T_4 54～174nmol/L,TSH<10mlU/L),血β-HCG658mu/L.胃镜揭示慢性浅表性胃炎.肝胆B超揭示肝回声不均,脾
Patients, women, aged 33. 20 days ago nausea, vomiting, with fatigue, anorexia, abdominal distension, admitted to the hospital on April 2, 1997, usually normal menstruation, pregnancy 1 1. The last menstrual dripping, no foreign body discharge . No contraceptive measures taken. Physical examination: T36.8C, P84 / min, Bp14 / 8kPa, mildly prominent eyes, eyes with God, eye syndrome (a). Thyroid 1 ° swollen, soft, thyroid vascular murmur ) Cardiopulmonary auscultation was normal, abdominal soft, mild abdominal full uplift, hepatosplenism, under the umbilical 3 cross refers to the size of 14 × 12cm mass, quality and toughness, no tenderness pain, hands flat test negative. Room and imaging examination: blood T_33.44nmol / L, T_4 347.6nmol / L, TSH3.6mU / L (hospital normal reference T_3 0.9 ~ 2.2ng / ml, T_4 54 ~ 174nmol / L, TSH <10mlU / L ), Blood β-HCG658mu / L. Gastroscopy revealed chronic superficial gastritis. Liver and gallbladder B-ultrasound revealed uneven liver echo, spleen