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患者女,38岁.因浮肿、畏寒、乏力、眉毛阴毛脱落、月经过多4月余,TT_30.46nmol/L,TT_425.7nmol/L,TSH91.9U/L,于1991年3月诊断为甲减.经服干甲状腺素片(干甲片)40～80mg/d,两个月后自觉好转.半年后复查血清TT_3、TT_4及TSH正常而自行停药.1992年4月始出现心悸、怕热、多汗、多食、消瘦、口渴及易急躁等,于1992年11月23日入院.体检:Ⅱ度突眼,甲状腺肿大Ⅰ度,质软,未及结节,未闻血管杂音,手有轻度细颤,脉搏110次/分,血压16/8.8kPa(120/66mmHg),心率110次/分,律齐,两肺听诊正常,肝脾未及.肝肾功能、血电解质及胸片等检查均正常.血清TT_36.0nmol/L,TT_4187.8nmol/L,TSH4.OU/L,甲状
Female patient, aged 38. Due to edema, chills, fatigue, eyebrows pubic hair loss, more than 4 months after menstruation, TT_30.46nmol / L, TT_425.7nmol / L, TSH91.9U / L, in March 1991 was diagnosed as Hypothyroidism by dry thyroid hormone tablets (dry A) 40 ~ 80mg / d, two months after the conscious improvement of six months after the review of serum TT_3, TT_4 and TSH normal withdrawal on their own .In April 1992 began palpitations, Afraid of heat, sweating, eating more, weight loss, thirst and irritability, etc., were admitted to hospital on November 23, 1992. Physical examination: Ⅱ degree exophthalmos, goiter Ⅰ degree, soft, not nodular, not heard Vascular murmur, light hand tremors, pulse 110 beats / min, blood pressure 16 / 8.8kPa (120 / 66mmHg), heart rate 110 beats / min, law Qi, two lung auscultation normal, Blood electrolytes and chest X-ray examination were normal serum TT_36.0nmol / L, TT_4187.8nmol / L, TSH4.OU / L, thyroid