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1 临床资料 例1 轰-5飞行员某,37岁,飞行时间1300h。反复腹痛腹泻2年。无发热、里急后重及脓血便史。全消化道钡剂造影未发现器质性病变,诊断为“胃肠功能障碍”。本次大体检中主诉腹痛、腹泻的同时还诉有心慌。体格检查:T36.8℃,P 86次/min,身高174cm,体重56kg。甲状腺不肿大,心肺正常,肠鸣音活跃。甲状腺功能检查:T_3 4.5nmol/L,T_4 172nmol/L。诊断:甲亢。用他
1 clinical data example 1 H-5 pilots, 37 years old, flying time 1300h. Repeated abdominal pain and diarrhea for 2 years. No fever, tenesmus and pus and blood stool history. Barium bolus angiography did not find organic lesions, diagnosed as “gastrointestinal dysfunction.” The main prosecution of abdominal pain, diarrhea, but also complained about palpitation. Physical examination: T36.8 ℃, P 86 times / min, height 174cm, weight 56kg. Thyroid does not enlarge, normal heart and lung, bowel sounds active. Thyroid function tests: T_3 4.5nmol / L, T_4 172nmol / L. Diagnosis: hyperthyroidism. Use him