论文部分内容阅读
患者女性,46岁,农民.因发热咽痛10天而就诊,门诊诊断急性粒细胞缺乏症于1989年8月14日第2次入院.追询病史,3个月前出现多食、消瘦、乏力,50天前第1次住本院内科,当时体检:甲状腺I°肿大,无结节,心率104次/分,律绝对不规则,T_38.04nmol/L,T_4 413.0nmol/L,血WBC4.2×10~9/L,N70%,L28%,E2%,Hb110g/L,RBC3.84×10~(12)/L,PL 94×10~9/L,EKG示房颤伴轻度T波改变.诊断甲状腺机能亢进症伴甲亢性心脏病,房颤.而予抗“甲亢”治疗,用他巴唑10mg,3次/d,服7天后改用15mg,3次/d,续服7天,住院15天,复查T_30.01nmol/L,T_444.0mmol/L,病情好转,稳定,恢复窦性心律,故要求自动出院.遂带药回家,后继续用他巴唑10mg,3次/d,达28天,因出现发热,咽痛,
Patient Female, 46 years old, farmer.He was diagnosed with fever sore throat for 10 days, and outpatient diagnosis of acute agranulocytosis was admitted to hospital for the second time on August 14, 1989. Pursuing history, 3 months ago, there was more food, weight loss, Fatigue, 50 days ago, the first time living in our hospital, when physical examination: thyroid I ° enlargement, no nodules, heart rate 104 beats / min, the law is absolutely irregular, T_38.04nmol / L, T_4 413.0nmol / L, blood WBC4.2 × 10-9 / L, N70%, L28%, E2%, Hb110g / L, RBC3.84 × 10-12 / L, PL94 × 10-9 / L, EKG showed atrial fibrillation with light Degree T wave changes. Diagnosis of hyperthyroidism with hyperthyroidism heart disease, atrial fibrillation .For anti-hyperthyroidism treatment, with methimazole 10mg, 3 times / d, serving 7 days later switched to 15mg, 3 times / d, Continued for 7 days, hospitalized for 15 days, review T_30.01nmol / L, T_444.0mmol / L, the condition improved, stable, restore sinus rhythm, so the request was discharged. Then take the medicine home, then continue with methimazole 10mg , 3 times / d, up to 28 days, due to fever, sore throat,